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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
1251E00000XHome Health Agency

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 : 1669568564
Entity Type Code : Organization
Provider Name (Legal Business Name) : AULTMAN HOSPITAL
Provider Business Mailing Address
First Line : 2821 WOODLAWN AVE NW
Second Line :
City : CANTON
State : OH
Zip : 44708-1423
Country : US
Telephone Number : 330-479-4805
Fax Number : 330-479-4803
Provider Business Practice Location Address
First Line : 2821 WOODLAWN AVE NW
Second Line :
City : CANTON
State : OH
Zip : 44708-1423
Country : US
Telephone Number : 330-479-4800
Fax Number : 330-479-4804
Authorized Official
Title or Position : CFO
Name : ADAM M LUNTZ
Credential :
Telephone Number : 330-363-3889
Provider Enumeration Date : 10/05/2006
Last Update Date : 08/06/2025

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1154532281 — MRS. LISA DIANE MARSHALL PT
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Directions to “AULTMAN HOSPITAL ” Practice Location

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