Provider Demographics
NPI:1366225914
Name:UNION HEALTH SERVICES
Entity type:Organization
Organization Name:UNION HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMATOU
Authorized Official - Middle Name:
Authorized Official - Last Name:ISMAILA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-299-6540
Mailing Address - Street 1:1130 TABB ST STE E
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23504-3434
Mailing Address - Country:US
Mailing Address - Phone:800-299-6540
Mailing Address - Fax:800-707-4204
Practice Address - Street 1:1130 TABB ST STE E
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23504-3434
Practice Address - Country:US
Practice Address - Phone:800-299-6540
Practice Address - Fax:800-707-4204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health