MEDICARE: WESTSIDE REGIONAL MEDICAL CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1497704209
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTSIDE REGIONAL MEDICAL CENTER LLC

Provider Business Mailing Address
First Line	:	3660 EDGEWOOD DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-1820
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3660 EDGEWOOD DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-1820
Country	:	US
Telephone Number	:	513-454-1428
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT MANAGED CARE
Name	:	MRS. ROBYN FINNEGAN
Credential	:
Telephone Number	:	513-454-1428

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	01/03/2008

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