1447445184 NPI number — UNITY HEALTH CARE, INC

Table of content: (NPI 1447445184)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447445184 NPI number — UNITY HEALTH CARE, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNITY HEALTH CARE, INC
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:
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:
1447445184
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/13/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1100 NEW JERSEY AVE SE STE 500
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20003-3326
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-715-7900
Provider Business Mailing Address Fax Number:
202-544-3783

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
425 2ND ST NW
Provider Second Line Business Practice Location Address:
SUITE-MOBILE UNIT
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20001-2003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-328-1100
Provider Business Practice Location Address Fax Number:
202-588-8101
Provider Enumeration Date:
09/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KEANE
Authorized Official First Name:
VINCENT
Authorized Official Middle Name:
A.
Authorized Official Title or Position:
PRESIDENT/CEO
Authorized Official Telephone Number:
202-715-6562

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QF0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 071563800 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".




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