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CONCENTRA HEALTH SERVICES INC. NPI 1073778825


NPI Information

NPI: 1073778825
Provider Name: CONCENTRA HEALTH SERVICES, INC.,
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1905 BEAVER RUIN RD
SUITE 175
NORCROSS, GA
ZIP 30071
Phone: (770) 441-0444
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CONCENTRA HEALTH SERVICES, INC., is a health service clinic center in Norcross, GA. CONCENTRA HEALTH SERVICES, INC., NPI is 1073778825. The provider is registered as an organization entity type.

The provider's business location address is:

1905 BEAVER RUIN RD
SUITE 175
NORCROSS, GA
ZIP 30071-837
Phone: (770) 441-0444
Fax: (770) 449-7962

The provider's authorized official is Keith Newton .
The authorized official title is President and has the following contact phone number (972) 364-8106.

The enumeration date for this NPI number is 7/22/2008 and was last updated on 4/21/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2000XClinic/CenterPhysical TherapyNo
2261QX0100XClinic/CenterOccupational MedicineNo
3261QH0100XClinic/CenterHealth ServiceYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1116867MEDICARE OSCAR/CERTIFICATIONGEORGIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.