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AULTMAN SPECIALTY HOSPITAL LLC NPI 1568425650


NPI Information

NPI: 1568425650
Provider Name: AULTMAN SPECIALTY HOSPITAL LLC

Doing Business As: ACUTE CARE SPECIALTY HOSPITAL

Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization

CLIA Number: 36D1021421

Address:
2600 6TH ST SW
4TH FLOOR
CANTON, OH
ZIP 44710
Phone: (330) 363-4000
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AULTMAN SPECIALTY HOSPITAL LLC is a long term care hospital in Canton, OH. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. AULTMAN SPECIALTY HOSPITAL LLC NPI is 1568425650. The provider is registered as an organization entity type.
The provider Is Doing Business As Acute Care Specialty Hospital.

The provider's business location address is:

2600 6TH ST SW
4TH FLOOR
CANTON, OH
ZIP 44710-702
Phone: (330) 363-4000
Fax: (330) 363-4001

The provider's authorized official is Terry Regula .
The authorized official title is President & Ceo and has the following contact phone number (330) 363-3179.

The CLIA number assigned to this NPI record is 36D1021421 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 8/19/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282E00000XLong Term Care HospitalOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1362032MEDICARE ID-TYPE UNSPECIFIED
22573559MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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