Healthcare Provider Details

I. General information

NPI: 1497704209
Provider Name (Legal Business Name): WESTSIDE REGIONAL MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 01/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3660 EDGEWOOD DR
CINCINNATI OH
45211-1820
US

IV. Provider business mailing address

3660 EDGEWOOD DR
CINCINNATI OH
45211-1820
US

V. Phone/Fax

Practice location:
  • Phone: 513-454-1428
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. ROBYN FINNEGAN
Title or Position: VICE PRESIDENT MANAGED CARE
Credential:
Phone: 513-454-1428