Provider Demographics
NPI:1609602770
Name:UNITY FAMILY HEALTH LLC
Entity type:Organization
Organization Name:UNITY FAMILY HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, FNP-BC
Authorized Official - Phone:508-847-6546
Mailing Address - Street 1:11 VERNON ST
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01540-1525
Mailing Address - Country:US
Mailing Address - Phone:508-847-6546
Mailing Address - Fax:508-433-9785
Practice Address - Street 1:70 HIGHLAND ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-2730
Practice Address - Country:US
Practice Address - Phone:508-715-6372
Practice Address - Fax:508-433-9785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care