1376612051 NPI number — UNITY FAMILY HEALTHCARE

Table of content: DR. ALLISON PAIGE ROTH DC (NPI 1639647266)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376612051 NPI number — UNITY FAMILY HEALTHCARE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNITY FAMILY HEALTHCARE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376612051
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/10/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PLYMOUTH ST & MAIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOLDINGFORD
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
56340
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
320-746-2850
Provider Business Mailing Address Fax Number:
320-746-2850

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
320 3RD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56307-9363
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
320-845-2157
Provider Business Practice Location Address Fax Number:
320-845-6138
Provider Enumeration Date:
11/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BRANDNER
Authorized Official First Name:
NICK
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
320-845-6100

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com