UNIVERSITY MEDICAL GROUP INC. NPI 1174662738

NPI Information

UNIVERSITY MEDICAL GROUP, INC. is a non pharmacy dispensing site in Cranston, RI. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) UNIVERSITY MEDICAL GROUP, INC. NPI is 1174662738. The provider is registered as an organization entity type.
The provider Is Doing Business As Umg - Primary Care Division.

The provider's business location address is:

1500 PONTIAC AVE
CRANSTON, RI
ZIP 02920-406
Phone: (401) 464-8109

The provider's authorized official is Kenny Heine .
The authorized official title is Director Of Operations and has the following contact phone number (858) 625-2990.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 4/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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