NPIMap

Organization Active NPI

Unity Health on Main

  • Federally Qualified Health Center (FQHC)
  • Greenville, SC
National Provider Identifier
1326401217
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
UNITY HEALTH ON MAIN
Practice address
505 N Main St Ste C
Greenville, SC 29601-2019
Phone
(864) 232-2734
Fax
(864) 232-8126
NPI assigned
Mar 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Norma Jean Huerta
Title
Executive Director
Phone
(864) 982-8729

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

505 N Main St Ste C
Greenville, SC 29601-2019

Mailing address

PO Box 2583
Greenville, SC 29602-2583
Phone (864) 232-2734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170519001772 SC Part B Supplier - Clinic/Group Practice 7810264900 Receives reassigned benefits from 9 practitioners
Practice locations: Greenville, SC
O20240502003717 SC Part A Provider - Federally Qualified Health Center (FQHC) 7810264900 Practice locations: Greenville, SC

Federally qualified health center certification: CCN 421098

Legal name
UNITY HEALTH ON MAIN
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 1, 2024
Last certification
Apr 1, 2024
Ownership / control type
For profit – corporation
Organization structure
LLCNon-profit
Incorporated
Jan 8, 2016 in SC
Enrollment address
505 N Main St
Ste C
Greenville, SC 29601-2019

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14006/brand/1/csg/1/fhir/r4

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Norma Jean Huerta Individual Corporate DirectorExecutive Director Jan 1, 2024 100%
Operational/Managerial ControlExecutive Director Jan 1, 2024 100%

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1326401217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2583",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296022583",
            "telephone_number": "864-232-2734",
            "fax_number": "864-232-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N MAIN ST STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012019",
            "telephone_number": "864-232-2734",
            "fax_number": "864-232-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY HEALTH ON MAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "HUERTA",
        "authorized_official_first_name": "NORMA JEAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-982-8729"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.