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CONCENTRA HEALTH SERVICES, INC.

Ambulatory Health Care Facilities Clinic/Center Health Service

Provider NPI: 1396993200

Organization Information:
Organization Name:  CONCENTRA HEALTH SERVICES, INC.
Organization is not Subpart
Authorized Official:  KEITH  NEWTON  PRESIDENT / CEO  972-364-8106

Practice Location:
3145 ASHLAND AVENUE SUITE 110 CHICAGO, IL 60608 US
Tel: 773-254-5516  Fax: 773-254-5518

Business Mailing Address:
5080 SPECTRUM DRIVE SUITE 1200 WEST TOWER ADDISON, TX 75001 US
Tel: 800-232-3550  Fax: --

NPI Information:
NPI: 1396993200
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QH0100XAmbulatory Health Care Facilities
Clinic/Center
Health Service

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QH0100X

Type:

Classification:



Definition:



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