| Aultman Hospital Psych | |
|
2600 Sixth St Sw Canton OH 44710-1702 | |
| (330) 452-9911 | |
| Not Available |
| Full Name | Aultman Hospital Psych |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2600 Sixth St Sw, Canton, Ohio |
| Authorized Official Name and Position | Mark Wright (VP) |
| Authorized Official Contact | 3304529911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aultman Hospital Psych 2600 Sixth St Sw Canton OH 44710-1702 Ph: (330) 452-9911 | Aultman Hospital Psych 2600 Sixth St Sw Canton OH 44710-1702 Ph: (330) 452-9911 |
| NPI Number | 1609803857 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 11/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609803857 | NPI | - | NPPES |
| 0318758 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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