Provider Demographics
NPI:1447004551
Name:PRIORITY HEALTH SYSTEMS INC
Entity type:Organization
Organization Name:PRIORITY HEALTH SYSTEMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IDIAT
Authorized Official - Middle Name:ADEOLA
Authorized Official - Last Name:SANNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-423-4132
Mailing Address - Street 1:600 REISTERSTOWN RD STE 404
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-5107
Mailing Address - Country:US
Mailing Address - Phone:240-423-4132
Mailing Address - Fax:410-655-2057
Practice Address - Street 1:600 REISTERSTOWN RD STE 404
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-5107
Practice Address - Country:US
Practice Address - Phone:240-423-4132
Practice Address - Fax:410-655-2057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities