MEDICARE: UNI URGENT CARE

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	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1417766676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNI URGENT CARE

Provider Business Mailing Address
First Line	:	11303 AMHERST AVE STE 2
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-4600
Country	:	US
Telephone Number	:	240-478-5957
Fax Number	:	240-833-8047

Provider Business Practice Location Address
First Line	:	11303 AMHERST AVE STE 2
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-4600
Country	:	US
Telephone Number	:	240-833-8014
Fax Number	:	240-833-8047

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	MIHRET GEZE GENBRO
Credential	:
Telephone Number	:	240-478-5957

Provider Enumeration Date	:	01/02/2025
Last Update Date	:	01/02/2025

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