Provider Demographics
NPI:1043336472
Name:UNITY HEALTHNET
Entity Type:Organization
Organization Name:UNITY HEALTHNET
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:MAYNARD
Authorized Official - Last Name:STOKKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-760-1026
Mailing Address - Street 1:4494 ROOSEVELT LN NW
Mailing Address - Street 2:BOX 833
Mailing Address - City:WALKER
Mailing Address - State:MN
Mailing Address - Zip Code:56484-0000
Mailing Address - Country:US
Mailing Address - Phone:218-760-1026
Mailing Address - Fax:484-770-1026
Practice Address - Street 1:4494 ROOSEVELT LN NW
Practice Address - Street 2:
Practice Address - City:WALKER
Practice Address - State:MN
Practice Address - Zip Code:56484-0000
Practice Address - Country:US
Practice Address - Phone:218-760-1026
Practice Address - Fax:484-770-1026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Multi-Specialty