Provider Demographics
NPI:1326234006
Name:UNITY FAMILY HEALTHCARE
Entity Type:Organization
Organization Name:UNITY FAMILY HEALTHCARE
Other - Org Name:LITTLE FALLS ORTHOPEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT, FINANCY
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:S
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-631-5670
Mailing Address - Street 1:1108 1ST ST SE
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56345-3440
Mailing Address - Country:US
Mailing Address - Phone:320-631-2200
Mailing Address - Fax:320-632-3728
Practice Address - Street 1:1108 1ST ST SE
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:MN
Practice Address - Zip Code:56345-3440
Practice Address - Country:US
Practice Address - Phone:320-631-2200
Practice Address - Fax:320-632-3728
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITY FAMILY HEALTHCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-17
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNDG4919OtherRAILROAD MEDICARE
MNDG4919OtherRAILROAD MEDICARE