# WOOSTER CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497801237
- **Authorized official:** DENNIS LARAWAY (EXECUTIVE VP CHIEF FINANCE OFFICER)
- **Authorized official phone:** (216) 445-1343

## Contact information

- **Practice address:** 721 E MILLTOWN RD, WOOSTER, OH 44691-1255
- **Practice address phone:** (330) 287-4500
- **Mailing address:** 6801 BRECKSVILLE RD, STE 20, ATTN: DPC RK2-7, INDEPENDENCE, OH 44131-5062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0705AS | OH | Yes |

## Other

- **Enumeration date:** 01/26/2007
- **Last updated:** 08/05/2025