Organization
AULTMAN HEALTH FOUNDATION
Active
Other names
AULTMAN HOSPITAL URGENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
G SCOTT MCDONOUGH MD (MEDICAL DIRECTOR)
(330) 834-1111
Entity
Organization
Contact information
Practice address
6100 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7618
(330) 305-6999
(330) 305-6997
Mailing address
6100 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7618
(330) 305-6999
(330) 305-6997
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
021051600
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2113859
—
OH
01
—
3674428
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/22/2006
Last updated
04/29/2010
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