MEDICARE: CONCENTRA AKRON LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QH0100X	Health Service Clinic/Center
2	208D00000X	General Practice Physician
3	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1356588339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONCENTRA AKRON LLC

Provider Business Mailing Address
First Line	:	5080 SPECTRUM DR
Second Line	:	SUITE 1200 WEST
City	:	ADDISON
State	:	TX
Zip	:	75001-4625
Country	:	US
Telephone Number	:	800-232-3550
Fax Number	:	972-387-8058

Provider Business Practice Location Address
First Line	:	5080 SPECTRUM DR
Second Line	:	SUITE 1200 WEST
City	:	ADDISON
State	:	TX
Zip	:	75001-4625
Country	:	US
Telephone Number	:	800-232-3550
Fax Number	:	972-387-8058

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. KEITH NEWTON
Credential	:
Telephone Number	:	800-232-3550

Provider Enumeration Date	:	01/13/2009
Last Update Date	:	02/24/2009

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Directions to “CONCENTRA AKRON LLC ” Practice Location

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