Healthcare Provider Details
I. General information
NPI: 1225662927
Provider Name (Legal Business Name): AULTMAN NOW URGENT CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/03/2020
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6100 WHIPPLE AVE NW
NORTH CANTON OH
44720-7618
US
IV. Provider business mailing address
2600 SIXTH ST SW
CANTON OH
44710-1702
US
V. Phone/Fax
- Phone: 330-305-6999
- Fax:
- Phone: 330-363-7444
- Fax: 330-363-7770
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ADAM
LUNTZ
Title or Position: CFO
Credential:
Phone: 330-682-3010