Forum Health

Primary specialty

Children's HospitalTaxonomy code 282NC2000X

License

35080434 Issued in OH

Legal business name

FORUM HEALTH

Practice address

510 Gypsy LN
Youngstown, OH 44504-1349

Phone

(330) 884-3951

NPI assigned

Mar 20, 2006

Organization subpart

No

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

Authorized official

Name

James Mumford

Title

Administrator

Phone

(330) 884-3898

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124087176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 WHISPERING PINES DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069649",
            "telephone_number": "330-518-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 GYPSY LN",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041349",
            "telephone_number": "330-884-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORUM HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MUMFORD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-884-3898"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "OH",
            "license": "35080434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2302725",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Forren, DO
• Noemi Forren, FNP-C
• Brianna Fortner, LPN
• Oleeka Fortson
• Katelyn Meghann Fortunato, LPC
• Forum Health
• Forum Health Enterprises
• Forum Health Enterprises Co
• Forum Health Outreach Laboratories, Inc.
• Forum Health Pharmacy Services Co., Inc.

• Children's Hospital in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Children's Hospital in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.