CONCENTRA HEALTH SERVICES INC. NPI 1326204629

NPI Information

NPI: 1326204629
Provider Name: CONCENTRA HEALTH SERVICES, INC.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 21D0975891

Address:
6656 DOBBIN ROAD
COLUMBIA, MD
ZIP 21045
Phone: (410) 381-1330
Get Directions

CONCENTRA HEALTH SERVICES, INC. is a health service clinic center in Columbia, MD. CONCENTRA HEALTH SERVICES, INC. NPI is 1326204629. The provider is registered as an organization entity type.

The provider's business location address is:

6656 DOBBIN ROAD
COLUMBIA, MD
ZIP 21045-841
Phone: (410) 381-1330
Fax: (410) 381-5585

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 21D0975891 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/6/2008 and was last updated on 2/2/2009.

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	216684	MEDICARE OSCAR/CERTIFICATION	MARYLAND
2	1316988041	OTHER	MARYLAND	GROUP NPI

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: 4/28/2024

NPI Synchronization or Removal

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