Organization Name: | UNITY HEALTHNET |
NPI Number: | 1043336472 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOEL MAYNARD STOKKA (CEO) |
Mailing Address: | 4494 Roosevelt Ln Nw Walker |
State: | MN US |
Postal Code: | 564840000 |
Phone Number: | 2187601026 |
Fax Number: | 4847701026 |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |