Provider Demographics
NPI:1871975250
Name:UNION HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:UNION HEALTH SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/SOUTHEAST DIVISION
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LUTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-993-3460
Mailing Address - Street 1:6068 W HIGHWAY 74
Mailing Address - Street 2:BUILDING E, SUITE A
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28079-3591
Mailing Address - Country:US
Mailing Address - Phone:704-283-3464
Mailing Address - Fax:
Practice Address - Street 1:6068 W HIGHWAY 74
Practice Address - Street 2:BUILDING E SUITE A
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-3591
Practice Address - Country:US
Practice Address - Phone:704-283-3464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-23
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty