UNIVERSITY MEDICAL GROUP INC NPI 1255367942

NPI Information

NPI: 1255367942
Provider Name: UNIVERSITY MEDICAL GROUP, INC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
50 MAUDE ST
PROVIDENCE, RI
ZIP 02908
Phone: (401) 456-5368
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UNIVERSITY MEDICAL GROUP, INC is a multi-specialty clinic center in Providence, RI. UNIVERSITY MEDICAL GROUP, INC NPI is 1255367942. The provider is registered as an organization entity type.

The provider's business location address is:

50 MAUDE ST
PROVIDENCE, RI
ZIP 02908-325
Phone: (401) 456-5368

The provider's authorized official is Tracy Wallace .
The authorized official title is Ceo and has the following contact phone number (401) 456-2717.

The enumeration date for this NPI number is 6/24/2006 and was last updated on 8/22/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	UM 24173	MEDICAID	RHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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