Organization · Type 2 NPI

University Medicine Foundation, Inc.

Non-Pharmacy Dispensing Site · Providence, RI

NPI number 1386786291 Active

Practice location

285 Governor St, 200
Providence, RI 02906-3237

Call (401) 228-3480 Map

Mailing address

5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	PA00196 (RI)

Non-Pharmacy Dispensing Site: 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.)

13 other providers at this address

Other non-pharmacy dispensing site providers in Providence

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NPI record

NPI: 1386786291
Entity type: Organization (Type 2)
Issued: Feb 14, 2007
Last updated: Oct 17, 2012
Status: Active
Subpart: Yes of Medvantx, Inc.

Other names

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Umf - the Governor Street Primary Care Center · doing business as

Authorized official

Kenny Heine
Director of Operations
(858) 625-2990

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386786291

University Medicine Foundation, Inc.'s National Provider Identifier is 1386786291, issued on Feb 14, 2007. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Providence, RI. The record was last updated on Oct 17, 2012.