NPIMap

Organization Active NPI

Aultman Health Foundation

Doing business as Aultman Hospital Urgent Care

  • Clinic Pharmacy
  • North Canton, OH
National Provider Identifier
1689695652
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
021051600 Issued in OH
Legal business name
AULTMAN HEALTH FOUNDATION
Doing business as
Aultman Hospital Urgent Care
Practice address
6100 Whipple Ave NW
North Canton, OH 44720-7618
Phone
(330) 305-6999
Fax
(330) 305-6997
NPI assigned
Jul 22, 2006
Last updated
Apr 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
G Scott McDonough, MD
Title
Medical Director
Phone
(330) 834-1111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X 021051600 OH Primary

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 2

IdentifierTypeStateIssuer
2113859MedicaidOH
3674428OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • AULTMAN HOSPITAL URGENT CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Prac Ctr Canton14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1689695652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 WHIPPLE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207618",
            "telephone_number": "330-305-6999",
            "fax_number": "330-305-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 WHIPPLE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207618",
            "telephone_number": "330-305-6999",
            "fax_number": "330-305-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AULTMAN HEALTH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "G SCOTT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "330-834-1111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "OH",
            "license": "021051600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2113859",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3674428",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AULTMAN HOSPITAL URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.