Aultman Health Foundation
Organization Active NPI Clinic Pharmacy · North Canton, OH
NPI 1689695652 · NPPES record last updated Apr 29, 2010
Key facts
- NPI
- 1689695652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic Pharmacy 3336C0002X
- License
- 021051600 (OH)
- Legal business name
- AULTMAN HEALTH FOUNDATION
- Practice address
- 6100 Whipple Ave NW
North Canton, OH 44720-7618 - Phone
- (330) 305-6999
- Fax
- (330) 305-6997
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
Authorized official
- Name
- G Scott McDonough, MD
- Title
- Medical Director
- Phone
- (330) 834-1111
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Hugh M Pratt
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Clinic Pharmacy | 3336C0002X | 021051600 | OH | Yes |
Addresses
Primary practice location
6100 Whipple Ave NW
North Canton, OH 44720-7618
Mailing address
6100 Whipple Ave NW
North Canton, OH 44720-7618
Phone (330) 305-6999
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2113859 | Medicaid | OH | |
| 3674428 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- AULTMAN HOSPITAL URGENT CARE
Other providers in North Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.