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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
1261QH0100XHealth Service Clinic/Center

General Provider Information

NPI Number : 1598917064
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 TOWER
City : ADDISON
State : TX
Zip : 75001-4648
Country : US
Telephone Number : 800-232-3550
Fax Number :
Provider Business Practice Location Address
First Line : 1915 N. PERRY STREET
Second Line :
City : PONTIAC
State : MI
Zip : 48340-2237
Country : US
Telephone Number : 248-276-3999
Fax Number : 248-276-3998
Authorized Official
Title or Position : PRESIDENT / CEO
Name : KEITH NEWTON
Credential :
Telephone Number : 972-364-8106
Provider Enumeration Date : 10/16/2008
Last Update Date : 10/16/2008

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

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