Organization
PRIORITY HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GOUGH RN BSN (PRESIDENT)
(586) 979-2267
Entity
Organization
Contact information
Practice address
11455 E 13 MILE RD, SUITE 201, WARREN, MI 48093-2502
(586) 979-2267
(586) 979-1185
Mailing address
11455 E 13 MILE RD, SUITE 201, WARREN, MI 48093-2502
(586) 979-2267
(586) 979-1185
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000003584
CAPE MEDICAL HMO
MI
01
—
008524
MIDWEST HEALTH PLAN
MI
01
—
119222
GREAT LAKES HEALTH PLAN
MI
01
—
21256
HEALTH PLAN OF MICHIGAN
MI
01
—
3288397
MOLINA HEALTHCARE OF MICH
MI
01
—
61308
OMNI CARE
MI
Enumeration date
08/31/2006
Last updated
08/22/2020
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