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NPI Code Detail

MEDICARE: FORUM HEALTH SERVICES CO.

MEDICARE: FORUM HEALTH SERVICES CO.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QX0100XOccupational Medicine Clinic/Center

General Provider Information

NPI Number : 1770714586
Entity Type Code : Organization
Provider Name (Legal Business Name) : FORUM HEALTH SERVICES CO.
Provider Business Mailing Address
First Line : 20 OHLTOWN RD
Second Line :
City : AUSTINTOWN
State : OH
Zip : 44515-2331
Country : US
Telephone Number : 330-884-1500
Fax Number : 330-884-1501
Provider Business Practice Location Address
First Line : 730 N MAIN ST
Second Line :
City : HUBBARD
State : OH
Zip : 44425-1126
Country : US
Telephone Number : 330-884-1500
Fax Number : 330-884-1501
Authorized Official
Title or Position : VICE PRESIDENT/COO FORUM HEALTH SRV
Name : MR. MICHAEL SEELMAN
Credential :
Telephone Number : 330-884-5858
Provider Enumeration Date : 07/29/2009
Last Update Date : 07/29/2009

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Directions to “FORUM HEALTH SERVICES CO. ” Practice Location

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