Healthcare Provider Details

I. General information

NPI: 1598484099
Provider Name (Legal Business Name): AULTMAN NOW URGENT CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2022
Last Update Date: 08/26/2022
Certification Date: 08/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 WHIPPLE AVE NW
NORTH CANTON OH
44720-7618
US

IV. Provider business mailing address

PO BOX 80868
CANTON OH
44708-0868
US

V. Phone/Fax

Practice location:
  • Phone: 330-305-6999
  • Fax:
Mailing address:
  • Phone: 330-363-7444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ADAM M LUNTZ
Title or Position: CFO
Credential:
Phone: 330-363-3889