Provider Demographics
NPI:1720251234
Name:FORENSIC AND MENTAL HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:FORENSIC AND MENTAL HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTH
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:513-867-5866
Mailing Address - Street 1:851 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-3785
Mailing Address - Country:US
Mailing Address - Phone:513-867-5866
Mailing Address - Fax:513-867-5875
Practice Address - Street 1:851 WALNUT ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-3785
Practice Address - Country:US
Practice Address - Phone:513-867-5866
Practice Address - Fax:513-867-5875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-04
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2475601Medicaid
OHF09346151Medicare PIN