WOOSTER CLINIC, LLC; NPI #1497801237

Contact Information

WOOSTER CLINIC, LLC

721 E MILLTOWN RD
WOOSTER, OH 44691-1255

Phone: 330-287-4500
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for WOOSTER CLINIC, LLC

NPI # 1497801237

LBN Legal business name WOOSTER CLINIC, LLC

Authorized official DENNIS LARAWAY - (EXECUTIVE VP CHIEF FINANCE OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/26/2007

Last updated 08/05/2025 - About 10 months ago

Identifiers

License #

0705AS

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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