| Forum Ohio, LLC | |
|
20 S 3rd St Suite 210 Columbus OH 43215-4206 | |
| (614) 309-9727 | |
| (614) 895-6801 |
| Full Name | Forum Ohio, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 20 S 3rd St, Columbus, Ohio |
| Authorized Official Name and Position | Bob Stinson (CO-OWNER) |
| Authorized Official Contact | 6143099727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forum Ohio, LLC 7440 Rolling Ridge Way Westerville OH 43082-8933 Ph: (614) 309-9727 | Forum Ohio, LLC 20 S 3rd St Suite 210 Columbus OH 43215-4206 Ph: (614) 309-9727 |
| NPI Number | 1881059061 |
|---|---|
| Provider Enumeration Date | 12/15/2015 |
| Last Update Date | 12/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881059061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | () | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | () | Secondary |
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