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NPI Code Detail

MEDICARE: CONCENTRA HEALTH SERVICES, INC.

MEDICARE: CONCENTRA HEALTH SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center
2261QX0100XOccupational Medicine Clinic/Center
3261QH0100XHealth Service Clinic/Center

General Provider Information

NPI Number : 1023273935
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONCENTRA HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 5080 SPECTRUM DRIVE
Second Line : SUITE 1200 WEST
City : ADDISON
State : TX
Zip : 75001-4648
Country : US
Telephone Number : 800-232-3550
Fax Number : 214-775-4515
Provider Business Practice Location Address
First Line : 1157 WEST AVE
Second Line : SUITE B
City : CONYERS
State : GA
Zip : 30012-5280
Country : US
Telephone Number : 770-760-0066
Fax Number : 770-922-7599
Authorized Official
Title or Position : PRESIDENT
Name : MR. KEITH NEWTON
Credential :
Telephone Number : 800-232-3550
Provider Enumeration Date : 07/21/2008
Last Update Date : 04/21/2009

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Directions to “CONCENTRA HEALTH SERVICES, INC. ” Practice Location

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