Provider Demographics
NPI:1700475738
Name:NORTH CENTRAL MEDICAL RESOURCES, INC
Entity Type:Organization
Organization Name:NORTH CENTRAL MEDICAL RESOURCES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/ AULTMAN HEALTH FOUNDATION
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:D
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-363-6430
Mailing Address - Street 1:5220 TUSCARAWAS ST W
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-5055
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:270 E STATE ST STE 130
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-4309
Practice Address - Country:US
Practice Address - Phone:330-478-9623
Practice Address - Fax:330-478-2449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies