Sa Woodside Clinic

LBN: Swedishamerican Hospital
Sa Woodside Clinic is an health care organization with primary practice located at 3775 N Mulford Rd , Rockford IL 61114. The organization recently has 10 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Nephrology, Allopathic & Osteopathic Physicians / Pediatric Pulmonology, Allopathic & Osteopathic Physicians / Pediatric Rheumatology, Allopathic & Osteopathic Physicians / Pediatric Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Pediatric Urology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Swedishamerican Hospital can be contacted via phone (779) 696-8400, or through Daniels, Don via phone (815) 966-2084.

Contact Information

Primary practice address
3775 N Mulford Rd Rockford IL 61114
Phone: (779) 696-8400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Daniels, Don
Phone: (815) 966-2084

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1629127691
LBN Legal business name Swedishamerican Hospital
DBA Doing business as Sa Woodside Clinic
Authorized official Daniels, Don
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 12th, 2018 - about 6 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 1629127691 NPPES
Illinois Other 14D0703183 CLIA

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