Provider Demographics
NPI:1932663507
Name:PRIORITYONE HEALTH CENTER LLC
Entity Type:Organization
Organization Name:PRIORITYONE HEALTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TYRONE
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:317-515-2651
Mailing Address - Street 1:8820 EAST 33RD STREET
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46226-6501
Mailing Address - Country:US
Mailing Address - Phone:317-515-2651
Mailing Address - Fax:765-529-8935
Practice Address - Street 1:8820 EAST 33RD STREET
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46226-6501
Practice Address - Country:US
Practice Address - Phone:317-515-2651
Practice Address - Fax:765-529-8935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-28
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)