Provider Demographics
NPI:1386063675
Name:U.N.I. MEDICAL CARE, INC
Entity type:Organization
Organization Name:U.N.I. MEDICAL CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOCELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SWANSON-APOLLON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-604-4716
Mailing Address - Street 1:6030 DAYBREAK CIRCLE STE A150/329
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1252
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6490 DOBBIN CENTER WAY
Practice Address - Street 2:SUITE C
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-4728
Practice Address - Country:US
Practice Address - Phone:443-542-0883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD37874261QP2300X
MDD37384261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care