Provider Demographics
NPI:1871003061
Name:PRIORITY CARE, LLC.
Entity Type:Organization
Organization Name:PRIORITY CARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHNNY
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:RABON
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:864-269-6910
Mailing Address - Street 1:PO BOX 51232
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:SC
Mailing Address - Zip Code:29673-2232
Mailing Address - Country:US
Mailing Address - Phone:864-269-6910
Mailing Address - Fax:864-269-6929
Practice Address - Street 1:622 COOPER RD
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:SC
Practice Address - Zip Code:29673-9408
Practice Address - Country:US
Practice Address - Phone:864-269-6910
Practice Address - Fax:864-269-6929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-03
Last Update Date:2017-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC609341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance