Provider Demographics
NPI:1770101040
Name:PRIORITY HEALTH LLC
Entity type:Organization
Organization Name:PRIORITY HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:RYBAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-614-2015
Mailing Address - Street 1:265 EASTCHESTER DR STE 133-322
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7731
Mailing Address - Country:US
Mailing Address - Phone:855-614-2015
Mailing Address - Fax:
Practice Address - Street 1:265 EASTCHESTER DR STE 133-322
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7731
Practice Address - Country:US
Practice Address - Phone:855-614-2015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment