Children'S Medical Group

LBN: University Pediatrics, Inc
Children'S Medical Group is an health care organization with primary practice located at 100 Highland Ave Suite 201, Providence RI 02906-2740. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. University Pediatrics, Inc can be contacted via phone (401) 633-1100, or through Eden, Robert E via phone (401) 633-1100.

Contact Information

Primary practice address
100 Highland Ave Suite 201 Providence RI 02906-2740
Phone: (401) 633-1100
Fax: (401) 633-0047
Website:
Map and Directions
Authorized official contact:
Name: Eden, Robert E Doctor of Medicine (MD)
Phone: (401) 633-1100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Rhode Island

Profile Details

NPI number 1932117702
LBN Legal business name University Pediatrics, Inc
DBA Doing business as Children'S Medical Group
Authorized official Eden, Robert E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2006
Last updated Mar 27th, 2014 - about 12 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 1932117702 NPPES
Rhode Island MEDICAID UP29391

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