FORUM HEALTH SERVICES (NPI# 1114968849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114968849 |
Entity Type | Organization |
Organization Name | FORUM HEALTH SERVICES |
Other Organization Name | ELM ROAD IMMEDIATE CARE |
Practice Address |
2662 Elm Rd Ne Cortland OH 44410-9393 |
Practice Telephone | 3308413004 |
Mailing Telephone | 3308413004 |
Enumeration Date | 2006-06-10 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. TIMOTHY J NIEMI (MEDICAL DIRECTOR) |
Authorized Official Telephone | 3308413004 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
OH | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | ANTHEM GROUP NUMBER | 000000165909 | 01 |
OH | UHC PROV NUMBER | 6600170 | 01 |
OH | QUALCHOICE NUMBER | 94930 | 01 |
OH | GATEWAY GROUP NUMBER | 1525808 | 01 |
OH | 2179913 | 05 | |
OH | AETNA GROUP NUMBER | 7997187 | 01 |
Other Name | Type Code |
---|---|
Elm Road Immediate Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871505842 | Forum Health Services | Clinic/Center | 6426 Market St, Youngstown, OH 44512-3434 | 2006-08-11 |
1033358171 | Forum Health Services | Clinic/Center | 1350 E Market St, Warren, OH 44483-6608 | 2009-02-12 |
1295778553 | Forum Health Services | Clinic/Center | 20 Ohltown Rd, Austintown, OH 44515-2331 | 2006-06-14 |
Street Address |
2662 ELM RD NE |
City | CORTLAND |
State | OH |
Zip Code | 44410-9393 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790753036 | Timothy Alan Niemi | Emergency Medicine | 2662 Elm Rd Ne, Cortland, OH 44410-9393 | 2006-03-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184152654 | Jeremy Taylor | Dentist | 481 S High St, Cortland, OH 44410 | 2017-05-30 |
1114454881 | Lauren Whiting | Occupational Therapy Assistant | N High St, Cortland, OH 44410 | 2017-05-12 |
1508306887 | Renee Evans | Adult Companion | 2801 Ravine Run, Cortland, OH 44410 | 2017-03-06 |
1033405915 | Dennis A Benton | Dentist | 320 Windsor Dr., Cortland, OH 44410 | 2011-06-20 |
1508161084 | Deidre L Jones | Registered Nurse | 286 Rosewae Ave, Cortland, OH 44410 | 2011-01-14 |
1669602140 | David Alan Brys | Orthopaedic Surgery | 2785 Timbercreek Dr N, Cortland, OH 44410 | 2009-07-20 |
1265670442 | Carl E Cook | Dentist | 220 Windsor Drive, Cortland, OH 44410 | 2009-01-27 |
1225178767 | Ryan Anthony Barnot | Chiropractor | 3637 State Rt 5, Suite 5, Cortland, OH 44410 | 2007-02-07 |
1619013059 | Harvey Jay Feenstra | Chiropractor | 191 S Mecca St, Cortland, OH 44410 | 2007-01-30 |
1366507428 | Sandra Kay Martin | Licensed Practical Nurse | 3211 Unit D Woodland Trail, Cortland, OH 44410 | 2006-12-27 |
Find all providers in zip 44410 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194326629 | Premier Physicians Centers Inc. | Clinic/Center | 18660 Bagley Rd Ste 101, Middleburg Heights, OH 44130-3483 | 2020-11-02 |
1114534005 | Alison Sturgis | Clinic/Center | 272 Cora Dr, Carlisle, OH 45005-3223 | 2020-09-25 |
1811508625 | Suhas LLC | Clinic/Center | 9110 Mentor Ave Unit 9b, Mentor, OH 44060-6404 | 2020-08-14 |
1215563432 | North High Family & Acute Care, LLC | Clinic/Center | 902 N High St Ste B, Hillsboro, OH 45133-8501 | 2020-03-19 |
1558994178 | Artemis Health Services, LLC | Clinic/Center | 3055 Cleveland Ave Ste A, Columbus, OH 43224-3602 | 2020-02-21 |
1801428099 | Samaritan Regional Health System | Clinic/Center | 1033 Ashland Rd Ste 173, Mansfield, OH 44905-2156 | 2020-02-06 |
1194365932 | Community Urgent Care Plus | Clinic/Center | 5082 Glencrossing Way, Cincinnati, OH 45238-3360 | 2020-01-09 |
1710522305 | Arlington Urgent Care Inc | Clinic/Center | 2216 E Main St, Bexley, OH 43209-2319 | 2019-11-07 |
1437794021 | Arlington Urgent Care, Inc | Clinic/Center | 2245 W Dublin Granville Rd Ste 101, Columbus, OH 43085-3336 | 2019-11-07 |
1528619921 | Cleveland Urgent Care LLC | Clinic/Center | 1956 E 79th Street, Cleveland, OH 44103 | 2019-09-26 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.