CONCENTRA HEALTH SERVICES INC. NPI 1336305630

NPI Information

CONCENTRA HEALTH SERVICES, INC. is a health service clinic center in Timonium, MD. CONCENTRA HEALTH SERVICES, INC. NPI is 1336305630. The provider is registered as an organization entity type.

The provider's business location address is:

1840 YORK ROAD
SUITE E
TIMONIUM, MD
ZIP 21093-121
Phone: (410) 252-4015
Fax: (410) 252-7410

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 21D0958743 - physician office 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:

Other Identifiers

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

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