Provider Type Icon

CONCENTRA HEALTH SERVICES INC NPI 1306965553


NPI Information

NPI: 1306965553
Provider Name: CONCENTRA HEALTH SERVICES INC

Doing Business As: CONCENTRA MEDICAL SERVICES NORTHEAST

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

Specialization: Health Service

CLIA Number: 39D0913294

Address:
2010 LEVICK ST
PHILADELPHIA, PA
ZIP 19149
Phone: (214) 537-4755
Get Directions

CONCENTRA HEALTH SERVICES INC is a health service clinic center in Philadelphia, PA. CONCENTRA HEALTH SERVICES INC NPI is 1306965553. The provider is registered as an organization entity type.
The provider Is Doing Business As Concentra Medical Services Northeast.

The provider's business location address is:

2010 LEVICK ST
PHILADELPHIA, PA
ZIP 19149-928
Phone: (214) 537-4755
Fax: (214) 775-4502

The provider's authorized official is Robert Hassett .
The authorized official title is Senior Vice President/center Medica and has the following contact phone number (972) 364-8000.

The CLIA number assigned to this NPI record is 39D0913294 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 11/13/2015.


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

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.