MEDICARE: PATIENT PRIORITY CLINICAL SITES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1235747494
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATIENT PRIORITY CLINICAL SITES, LLC

Provider Business Mailing Address
First Line	:	1207 SPRINGFIELD PIKE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45215-2123
Country	:	US
Telephone Number	:	513-791-7760
Fax Number	:	513-791-7764

Provider Business Practice Location Address
First Line	:	1207 SPRINGFIELD PIKE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45215-2123
Country	:	US
Telephone Number	:	513-791-7760
Fax Number	:	513-791-7764

Authorized Official
Title or Position	:	CEO
Name	:	MRS. TERRI L POPOVITZ
Credential	:
Telephone Number	:	513-791-7760

Provider Enumeration Date	:	07/14/2020
Last Update Date	:	07/14/2020

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