Provider Demographics
| NPI: | 1265740773 |
|---|---|
| Name: | TOP PRIORITY CARE SERVICES LLC |
| Entity type: | Organization |
| Organization Name: | TOP PRIORITY CARE SERVICES LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | MS |
| Authorized Official - First Name: | SHARON |
| Authorized Official - Middle Name: | P |
| Authorized Official - Last Name: | MOSLEY |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MSW |
| Authorized Official - Phone: | 336-896-1323 |
| Mailing Address - Street 1: | 7990 N POINT BLVD |
| Mailing Address - Street 2: | SUITE 204 |
| Mailing Address - City: | WINSTON SALEM |
| Mailing Address - State: | NC |
| Mailing Address - Zip Code: | 27106-3259 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 336-896-1323 |
| Mailing Address - Fax: | 336-896-1323 |
| Practice Address - Street 1: | 4411 W MARKET ST |
| Practice Address - Street 2: | SUITE 400 |
| Practice Address - City: | GREENSBORO |
| Practice Address - State: | NC |
| Practice Address - Zip Code: | 27407-1370 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 336-896-1323 |
| Practice Address - Fax: | 336-896-1327 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2010-09-17 |
| Last Update Date: | 2010-09-17 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 251B00000X | Agencies | Case Management |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| NC | 8302288 | Medicaid |