=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699879833
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | UNITY FAMILY HEALTHCARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/08/2006
-----------------------------------------------------
Last Update Date | 04/20/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 300 3RD AVE
-----------------------------------------------------
City | ALBANY
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 56307-9363
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 320-845-2121
-----------------------------------------------------
Fax | 320-845-6127
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 300 3RD AVE
-----------------------------------------------------
City | ALBANY
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 56307-9363
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 320-845-2121
-----------------------------------------------------
Fax | 320-845-6127
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | NICK BRANDNER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 320-845-6100
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 282NC0060X
-----------------------------------------------------
Taxonomy Name | Critical Access Hospital
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | MN
-----------------------------------------------------