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NPI Code Detail

MEDICARE: AULTMAN HOSPITAL

MEDICARE: AULTMAN HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417972050
Entity Type Code : Organization
Provider Name (Legal Business Name) : AULTMAN HOSPITAL
Provider Business Mailing Address
First Line : 2600 SIXTH ST SW
Second Line :
City : CANTON
State : OH
Zip : 44710-1702
Country : US
Telephone Number : 330-452-9911
Fax Number :
Provider Business Practice Location Address
First Line : 6100 WHIPPLE AVE NW
Second Line :
City : NORTH CANTON
State : OH
Zip : 44720-7618
Country : US
Telephone Number : 330-452-9911
Fax Number :
Authorized Official
Title or Position : VP
Name : MARK WRIGHT
Credential :
Telephone Number : 330-452-9911
Provider Enumeration Date : 07/13/2006
Last Update Date : 09/13/2007

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Directions to “AULTMAN HOSPITAL ” Practice Location

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