Provider Demographics
NPI:1821960386
Name:PRIORITYYOU HEALTH CENTER
Entity type:Organization
Organization Name:PRIORITYYOU HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ILA
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:812-403-3251
Mailing Address - Street 1:621 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:IN
Mailing Address - Zip Code:47546-3040
Mailing Address - Country:US
Mailing Address - Phone:812-403-3251
Mailing Address - Fax:812-461-1056
Practice Address - Street 1:621 MAIN ST
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:IN
Practice Address - Zip Code:47546-3040
Practice Address - Country:US
Practice Address - Phone:812-403-3251
Practice Address - Fax:812-461-1056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty