Provider Demographics
NPI:1417766676
Name:UNI URGENT CARE
Entity type:Organization
Organization Name:UNI URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:MIHRET
Authorized Official - Middle Name:GEZE
Authorized Official - Last Name:GENBRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-478-5957
Mailing Address - Street 1:11303 AMHERST AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-4600
Mailing Address - Country:US
Mailing Address - Phone:240-478-5957
Mailing Address - Fax:240-833-8047
Practice Address - Street 1:11303 AMHERST AVE STE 2
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-4600
Practice Address - Country:US
Practice Address - Phone:240-833-8014
Practice Address - Fax:240-833-8047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care