MEDICARE: UNITY HEALTHCARE, LLC

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	207Q00000X	Family Medicine Physician		IN

General Provider Information

NPI Number	:	1184175093
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITY HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	PO BOX 4699
Second Line	:
City	:	LAFAYETTE
State	:	IN
Zip	:	47903-4699
Country	:	US
Telephone Number	:	765-449-2732
Fax Number	:	765-446-1196

Provider Business Practice Location Address
First Line	:	3774 BAYLEY DR
Second Line	:	SUITE A
City	:	LAFAYETTE
State	:	IN
Zip	:	47905-8654
Country	:	US
Telephone Number	:	765-446-5417
Fax Number	:	765-446-5317

Authorized Official
Title or Position	:	DIRECTOR OF BILLING
Name	:	HEATHER DAWSON
Credential	:
Telephone Number	:	765-446-5417

Provider Enumeration Date	:	10/17/2016
Last Update Date	:	03/12/2025

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Directions to “UNITY HEALTHCARE, LLC ” Practice Location

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