Healthcare Provider Details

I. General information

NPI: 1578650511
Provider Name (Legal Business Name): UNITY HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 10/07/2010
Certification Date:
Deactivation Date: 04/16/2010
Reactivation Date: 10/07/2010

III. Provider practice location address

1609 CEDAR ST
MUSCATINE IA
52761-3498
US

IV. Provider business mailing address

1518 MULBERRY AVE
MUSCATINE IA
52761-9938
US

V. Phone/Fax

Practice location:
  • Phone: 563-263-3325
  • Fax: 563-263-6202
Mailing address:
  • Phone: 563-264-9100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier61564
Identifier TypeOTHER
Identifier StateIA
Identifier IssuerHOSPICE
# 2
Identifier0615682
Identifier TypeMEDICAID
Identifier StateIA
Identifier Issuer

VIII. Authorized Official

Name: MRS. ANGELA S GABRIEL
Title or Position: VICE PRESIDENT OF FINANCE
Credential:
Phone: 563-264-9260