MEDICARE: UNITY HEALTH CARE, INC

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	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982742987
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITY HEALTH CARE, INC

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

Provider Business Practice Location Address
First Line	:	1638 GOOD HOPE RD SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-4706
Country	:	US
Telephone Number	:	202-610-3880
Fax Number	:	202-610-0555

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	VINCENT KEANE
Credential	:
Telephone Number	:	202-518-6409

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	05/13/2020

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Directions to “UNITY HEALTH CARE, INC ” Practice Location

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