CONCENTRA HEALTH SERVICES INC. NPI 1174772107

NPI Information

NPI: 1174772107
Provider Name: CONCENTRA HEALTH SERVICES, INC.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 45D1001383

Address:
1345 VALWOOD PARKWAY
SUITE 306
CARROLLTON, TX
ZIP 75006
Phone: (972) 484-6435
Get Directions

CONCENTRA HEALTH SERVICES, INC. is a health service clinic center in Carrollton, TX. CONCENTRA HEALTH SERVICES, INC. NPI is 1174772107. The provider is registered as an organization entity type.

The provider's business location address is:

1345 VALWOOD PARKWAY
SUITE 306
CARROLLTON, TX
ZIP 75006-864
Phone: (972) 484-6435
Fax: (972) 484-6785

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 CLIA number assigned to this NPI record is 45D1001383 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/15/2008 and was last updated on 10/22/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	676640	MEDICARE OSCAR/CERTIFICATION	TEXAS

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: 5/5/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »