Provider Demographics
NPI:1316626138
Name:UNIFIED PRIMARY CARE & HEALTH SERVICES LLC
Entity type:Organization
Organization Name:UNIFIED PRIMARY CARE & HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:UCHENNA
Authorized Official - Middle Name:ANTHONIA
Authorized Official - Last Name:OBICHERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-497-1870
Mailing Address - Street 1:14502 GREENVIEW DR STE 548&544
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-3287
Mailing Address - Country:US
Mailing Address - Phone:240-893-4439
Mailing Address - Fax:301-497-1870
Practice Address - Street 1:14502 GREENVIEW DR STE 548&544
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-3287
Practice Address - Country:US
Practice Address - Phone:240-893-4439
Practice Address - Fax:301-497-1870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)