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Contact Information

UNIVERSITY MEDICAL GROUP, INC.
1500 PONTIAC AVE
CRANSTON, RI02920-4406
 Phone: 401-464-8109
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for UNIVERSITY MEDICAL GROUP, INC.

NPI # 1174662738
LBN Legal business name UNIVERSITY MEDICAL GROUP, INC.
Authorized official KENNY HEINE - (DIRECTOR OF OPERATIONS)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/06/2007
Last updated 04/08/2013 - About 13 years ago
Identifiers
RI License # MD08630
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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