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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 : 1629226493
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 : 900 EAST 103RD STREET
Second Line :
City : CHICAGO
State : IL
Zip : 60628-3033
Country : US
Telephone Number : 773-468-2963
Fax Number : 773-468-2975
Authorized Official
Title or Position : PRESIDENT / CEO
Name : KEITH NEWTON
Credential :
Telephone Number : 972-364-8106
Provider Enumeration Date : 09/04/2008
Last Update Date : 02/05/2009

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

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