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)

General Provider Information

NPI Number	:	1801488432
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITY HEALTH CARE INC

Provider Business Mailing Address
First Line	:	PO BOX 43564
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20010-9564
Country	:	US
Telephone Number	:	202-299-1600
Fax Number	:

Provider Business Practice Location Address
First Line	:	6010 GEORGIA AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-5104
Country	:	US
Telephone Number	:	202-469-4699
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	MUSTAFA MORRIS
Credential	:
Telephone Number	:	202-715-6590

Provider Enumeration Date	:	02/04/2021
Last Update Date	:	02/04/2021

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Directions to “UNITY HEALTH CARE INC ” Practice Location

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