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OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST P.A. NPI 1003936634

NPI Profile

NPI: 1003936634
Provider Name: OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST, P.A.

Doing Business As: CONCENTRA MEDICAL CENTER

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
110 KIMBALL AVE.
SUITE 115
SOUTH BURLINGTON, VT
ZIP 05403
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Phone: (802) 658-5756

OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST, P.A. is a health service cliniccenter in South Burlington, VT. OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST, P.A. NPI is 1003936634. The provider is registered as an organization entity type.
The provider Is Doing Business As Concentra Medical Center.

The provider's business location address is:

110 KIMBALL AVE.
SUITE 115
SOUTH BURLINGTON, VT
ZIP 05403
Phone: (802) 658-5756
Fax: (802) 865-0042

The provider's authorized official is Tom Fogarty .
The authorized official title is Senior Vp / Chief Medical Officer and has the following contact phone number (972) 364-8103.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 10/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2000XClinic/CenterPhysical TherapyNo
2261QX0100XClinic/CenterOccupational MedicineNo
3261QH0100XClinic/CenterHealth ServiceYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 7/9/2020

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