MEDICARE: ATCS AROUND THE CLOCK SERVICES

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
1	261QD1600X	Developmental Disabilities Clinic/Center

General Provider Information

NPI Number	:	1336864123
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATCS AROUND THE CLOCK SERVICES

Provider Business Mailing Address
First Line	:	1438 FAIRLANE AVE SW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44710-1350
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1438 FAIRLANE AVE SW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44710-1350
Country	:	US
Telephone Number	:	216-308-4600
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. ROBERT MCGILL
Credential	:
Telephone Number	:	216-308-4600

Provider Enumeration Date	:	10/05/2022
Last Update Date	:	10/05/2022

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Directions to “ATCS AROUND THE CLOCK SERVICES ” Practice Location

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