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CONCENTRA HEALTH SERVICES INC. NPI 1134378177

NPI Profile

NPI: 1134378177
Provider Name: CONCENTRA HEALTH SERVICES, INC.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

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

CONCENTRA HEALTH SERVICES, INC. is a health service cliniccenter in South Burlington, VT. CONCENTRA HEALTH SERVICES, INC. NPI is 1134378177. The provider is registered as an organization entity type.

The provider's business location address is:

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

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

The enumeration date for this NPI number is 9/15/2008 and was last updated on 9/30/2008.

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
1261QH0100XClinic/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

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.