Organization Active NPI

Unifour Family Health Care LLC

  • Clinic/Center
  • Newton, NC
National Provider Identifier
1730364340
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
UNIFOUR FAMILY HEALTH CARE LLC
Practice address
3451 Graystone PL SE
Newton, NC 28613-8200
Phone
(828) 465-3644
NPI assigned
Jan 2, 2008
Last updated
Dec 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Authorized official

Name
Mrs. Tabitha D Tate
Title
Practice Administrator
Phone
(828) 855-3644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

3451 Graystone PL SE
Newton, NC 28613-8200

Mailing address

3451 Graystone PL SE
Conover, NC 28613-8200
Phone (828) 285-5364

Other identifiers 1

IdentifierTypeStateIssuer
7000108MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1730364340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 GRAYSTONE PL SE",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138200",
            "telephone_number": "828-285-5364",
            "fax_number": "828-285-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 GRAYSTONE PL SE",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286138200",
            "telephone_number": "828-465-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIFOUR FAMILY HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "828-855-3644",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000108",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.