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
2021 WALES AVE NW, MASSILLON, OH 44646
(330) 305-6999
(330) 830-5454
Mailing address
2021 WALES AVE NW, MASSILLON, OH 44646
(330) 305-6999
(330) 830-5454
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
CL.021021550-03
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2080381
PK
—
Enumeration date
07/25/2006
Last updated
04/19/2016
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