FORUM HEALTH SERVICES


Address: 2662 Elm Rd Ne, Cortland, OH 44410-9393
Phone: 3308413004

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QU0200X Clinic/Center
Specialization: Urgent Care
OH Ambulatory Health Care Facilities

Other Provider Identifier

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 Provider/Organization Names

Other Name Type Code
Elm Road Immediate Care Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 2662 ELM RD NE
City CORTLAND
State OH
Zip Code 44410-9393

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790753036 Timothy Alan Niemi Emergency Medicine 2662 Elm Rd Ne, Cortland, OH 44410-9393 2006-03-11

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QU0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Urgent Care

Taxonomy Definition

Definition to come...

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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
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Competitor

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City CORTLAND
Zip Code 44410

Improve Information

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Dataset Information

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.

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