# FORUM HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Austintown Immediate Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295778553
- **Authorized official:** DR. TIMOTHY J NIEMI M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (330) 884-1500

## Contact information

- **Practice address:** 20 OHLTOWN RD, AUSTINTOWN, OH 44515-2331
- **Practice address phone:** (330) 884-1500
- **Mailing address:** 20 OHLTOWN RD, AUSTINTOWN, OH 44515-2331
- **Mailing address phone:** (330) 884-1500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | OH | Yes |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 08/22/2020
