Organization Name: | FORUM HEALTH SERVICES |
NPI Number: | 1295778553 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIMOTHY J NIEMI (MEDICAL DIRECTOR) |
Mailing Address: | 20 Ohltown Rd Austintown |
State: | OH US |
Postal Code: | 445152331 |
Phone Number: | 3308841500 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |