WEST SIDE MEDICAL CENTER, LLC - NPI 1760537013 - Family Medicine in Norwich, CT

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About West Side Medical Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST SIDE MEDICAL CENTER, LLC (NPI 1760537013) is a healthcare organization registered as a family medicine in Norwich, Connecticut and active in the NPI registry since January 2007. The organization lists William H Hernandez, Owner, as its authorized official.

NPPES Registry Identity

NPI1760537013

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameWEST SIDE MEDICAL CENTER, LLC

Location Address606 W MAIN STNorwich, CT 06360-6007

Mailing Address606 W Main StNorwich, CT 06360-6007 · (860) 889-1400 · Fax (860) 889-3163

Phone(860) 889-1400

Fax(860) 889-3163

Organization SubpartNo

Authorized OfficialWilliam H HernandezOwner · (860) 889-1400

Enumeration DateJanuary 25, 2007

Last NPPES UpdateDecember 3, 2013

✔ NPI 1760537013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CT · 207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 005383 (CT)

606 W MAIN ST, Norwich, CT 06360

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Other Identifiers 2

Medicare NSC4504270001CT

Medicare PIND100000047CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARY L. KILCOMONS PT

Physical Therapist