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Contact Information

ADULT GERIATRICS OF WOOSTER, INC.
1761 BEALL AVE
SUITE 3C
WOOSTER, OH44691-2342
 Phone: 330-345-5374
 Fax: 330-345-5814
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ADULT GERIATRICS OF WOOSTER, INC.

NPI Number 1689702870
LBN Legal business name ADULT GERIATRICS OF WOOSTER, INC.
Authorized official KIMBERLY WILLIAMS - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2007
Last updated 01/21/2015 - About 11 years ago
Identifiers
OH License # 34074032K
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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