Provider Demographics
NPI:1417354614
Name:UNIMEDICINE INTERNATIONAL
Entity Type:Organization
Organization Name:UNIMEDICINE INTERNATIONAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-799-2291
Mailing Address - Street 1:1100 POYDRAS STREET
Mailing Address - Street 2:STE 2925
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70163
Mailing Address - Country:US
Mailing Address - Phone:504-799-2291
Mailing Address - Fax:504-799-2292
Practice Address - Street 1:1100 POYDRAS ST
Practice Address - Street 2:STE 2925
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70163-1101
Practice Address - Country:US
Practice Address - Phone:504-799-2291
Practice Address - Fax:504-799-2292
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KLENMAN AND KLEINMAN INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-12-03
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS09603804251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS09603804Medicaid