Active NPIOrganization

University Medical Group, INC.

Non-Pharmacy Dispensing Site in Cranston, Rhode Island

NPI Number1174662738
Practice location
1500 Pontiac Ave, Cranston, RI 02920-4406
Fax
—
Last updated
April 8, 2013

University Medical Group, INC. is a healthcare organization based in Cranston, RI. University Medical Group, INC. practices in Cranston, RI. The NPI Number for University Medical Group, INC. is 1174662738 and holds a License No. MD08630 (RI). The current practice location address for University Medical Group, INC. is 1500 Pontiac Ave, Cranston, RI 02920-4406 and can be reached out via phone at 401-464-8109.

Provider Profile Details

NPI Number
1174662738
Provider Name
University Medical Group, INC.
Provider Entity Type
Organization
Address
1500 Pontiac Ave, Cranston, RI 02920-4406
Phone Number
401-464-8109
Primary Taxonomy
Non-Pharmacy Dispensing Site · 332900000X
Organization Subpart
Yes
Parent Organization
Medvantx, INC.
Authorized Official
Mr. Kenny Heine · Director Of Operations · 858-625-2990
Other Names
Umg - Primary Care Division (Doing Business As)
Provider Enumeration Date
February 6, 2007
Last Update Date
April 8, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
1500 Pontiac Ave
Cranston, RI 02920-4406
Zip
02920-4406
Phone Number
401-464-8109
Cranston, RI 02920Get directions →

Provider Business Mailing Address Details

Address
5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705
City
San Diego
State
CA
Zip
92121-1705
Phone Number
858-625-2990

License Information

License Number
MD08630
License State
RI
Taxonomy
Non-Pharmacy Dispensing Site · 332900000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of University Medical Group, INC.?

The NPI number of University Medical Group, INC. is 1174662738. It was assigned on February 6, 2007 and is currently active in the NPPES registry.

What is the specialty of University Medical Group, INC.?

University Medical Group, INC. is registered under the primary taxonomy Non-Pharmacy Dispensing Site (code 332900000X), licensed in RI under license number MD08630.

Where does University Medical Group, INC. practice?

The practice location is 1500 Pontiac Ave, Cranston, RI 02920-4406. The office can be reached at 401-464-8109 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174662738 directly on the NPPES registry website.

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