Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) |
| NPI Number | 1124087176 |
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| LBN Legal business name | FORUM HEALTH | ||||||||
| Authorized official | JAMES MUMFORD - (ADMINISTRATOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 03/20/2006 | ||||||||
| Last updated | 07/21/2022 - About 4 years ago | ||||||||
| Identifiers |
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