University Medical Group, Inc

LBN: University Medical Group, Inc
University Medical Group, Inc is an health care organization with primary practice located at 50 Maude St , Providence RI 02908-4325. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. University Medical Group, Inc can be contacted via phone (401) 456-5368, or through Wallace, Tracy via phone (401) 456-2717.

Contact Information

Primary practice address
50 Maude St Providence RI 02908-4325
Phone: (401) 456-5368
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Tracy
Phone: (401) 456-2717

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1255367942
LBN Legal business name University Medical Group, Inc
DBA Doing business as
Authorized official Wallace, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255367942 NPPES
Rhode Island MEDICAID UM 24173

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