Organization
FORUM HEALTH SERVICES
Active
Other names
Austintown Immediate Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J NIEMI M.D. (MEDICAL DIRECTOR)
(330) 884-1500
Entity
Organization
Contact information
Practice address
20 OHLTOWN RD, AUSTINTOWN, OH 44515-2331
(330) 884-1500
Mailing address
20 OHLTOWN RD, AUSTINTOWN, OH 44515-2331
(330) 884-1500
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2228039
—
OH
Enumeration date
06/14/2006
Last updated
08/22/2020
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