Woodside Medical Group, Inc.

LBN: Woodside Medical Group, Inc.
Woodside Medical Group, Inc. is an health care organization with primary practice located at 475 Lexington Ave , Mansfield OH 44907-1501. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Infusion Therapy, Ambulatory Health Care Facilities / Medical Specialty. Ambulatory Health Care Facilities / Medical Specialty is the primary health care specialty. Woodside Medical Group, Inc. can be contacted via phone (419) 756-2003, or through Exten, Robert Edwin via phone (419) 756-2003.

Contact Information

Primary practice address
475 Lexington Ave Mansfield OH 44907-1501
Phone: (419) 756-2003
Fax: (419) 756-3637
Website:
Map and Directions
Authorized official contact:
Name: Exten, Robert Edwin Doctor of Medicine (MD)
Phone: (419) 756-2003

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1821148404
LBN Legal business name Woodside Medical Group, Inc.
DBA Doing business as
Authorized official Exten, Robert Edwin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2007
Last updated Oct 4th, 2011 - about 13 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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