NPIMap

Organization Active NPI

Forum Health Services

Doing business as Trumbull Immediate Care

  • Urgent Care Clinic/Center
  • Warren, OH
National Provider Identifier
1033358171
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
FORUM HEALTH SERVICES
Doing business as
Trumbull Immediate Care
Practice address
1350 E Market St
Warren, OH 44483-6608
Phone
(330) 841-1144
Fax
(330) 841-1141
NPI assigned
Feb 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael Seelman, MSN
Title
Chief Operating Officer
Phone
(330) 884-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1350 E Market St
Warren, OH 44483-6608

Mailing address

1350 E Market St
Warren, OH 44483-6608
Phone (330) 841-1144

Other names 1

  • Trumbull Immediate Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Forum Health Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1033358171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836608",
            "telephone_number": "330-841-1144",
            "fax_number": "330-841-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836608",
            "telephone_number": "330-841-1144",
            "fax_number": "330-841-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORUM HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "SEELMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "330-884-1000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trumbull Immediate Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.