Organization
UNITY HEALTHCARE, LLC
Active
Other names
Southside Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER DAWSON (DIRECTOR OF BILLING)
(765) 446-5417
Entity
Organization
Contact information
Practice address
3554 PROMENADE PKWY, SUITE F, LAFAYETTE, IN 47909-8417
(765) 471-9146
(765) 477-0277
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 449-2732
(765) 449-1196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200107480E
—
IN
Enumeration date
04/08/2008
Last updated
07/17/2025
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