Organization
UNITY FAMILY HEALTHCARE
Active
Parent organization
UNITY FAMILY HEALTHCARE
Other names
Randall Lakes Area Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNITY FAMILY HEALTHCARE
Authorized official
MR. STEVEN S. SMITH (VICE PRESIDENT OF FINANCE)
(320) 631-5670
Entity
Organization
Contact information
Practice address
250 WHITE OAK DRIVE, RANDALL, MN 56475
(320) 749-2877
Mailing address
250 WHITE OAK DRIVE, RANDALL, MN 56475
(320) 749-2877
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040760700
—
MN
01
—
24-3447
RHC PROVIDER NUMBER
MN
01
—
640K9RA
BCBSM
MN
Enumeration date
05/23/2007
Last updated
11/28/2012
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