| Unity Health on Main | |
|
505 N Main St Ste C Greenville SC 29601-2019 | |
| (864) 232-2734 | |
| (864) 232-8126 |
| Full Name | Unity Health on Main |
|---|---|
| Speciality | Clinic/Center |
| Location | 505 N Main St Ste C, Greenville, South Carolina |
| Authorized Official Name and Position | Norma Jean Huerta (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8649828729 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unity Health on Main Po Box 2583 Greenville SC 29602-2583 Ph: (864) 232-2734 | Unity Health on Main 505 N Main St Ste C Greenville SC 29601-2019 Ph: (864) 232-2734 |
| NPI Number | 1326401217 |
|---|---|
| Provider Enumeration Date | 03/30/2016 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Medicare PECOS PAC ID | 7810264900 |
|---|---|
| Medicare Enrollment ID | O20170519001772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326401217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
| Provider Name | Leah a Aragon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144253790 PECOS PAC ID: 8022088798 Enrollment ID: I20040729000643 |
| Provider Name | Milena Lombardi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659320018 PECOS PAC ID: 0840360301 Enrollment ID: I20080610000466 |
| Provider Name | Joseph P Grant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639135239 PECOS PAC ID: 3072790385 Enrollment ID: I20110712000543 |
| Provider Name | Elizabeth Travis Sarratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740661156 PECOS PAC ID: 6002120680 Enrollment ID: I20150728004197 |
| Provider Name | Lorenzo Sentell Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548886062 PECOS PAC ID: 7012320443 Enrollment ID: I20210104001458 |
| Provider Name | Sarah a Derocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881150860 PECOS PAC ID: 0042553786 Enrollment ID: I20250108000924 |
| Provider Name | Elise D Resnick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063538023 PECOS PAC ID: 9335305150 Enrollment ID: I20250207002075 |
| Provider Name | Margaret L Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649142829 PECOS PAC ID: 2062902091 Enrollment ID: I20251106005264 |
| Provider Name | Tamela G Bonham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306715313 PECOS PAC ID: 5294215174 Enrollment ID: I20260218003284 |
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