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CONCENTRA HEALTH SERVICES INC. NPI 1609025774


NPI Information

NPI: 1609025774
Provider Name: CONCENTRA HEALTH SERVICES, INC.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 05D0998531

Address:
1101 S. MILLIKEN AVENUE
ONTARIO, CA
ZIP 91761
Phone: (909) 390-2799
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CONCENTRA HEALTH SERVICES, INC. is a health service clinic center in Ontario, CA. CONCENTRA HEALTH SERVICES, INC. NPI is 1609025774. The provider is registered as an organization entity type.

The provider's business location address is:

1101 S. MILLIKEN AVENUE
ONTARIO, CA
ZIP 91761
Phone: (909) 390-2799
Fax: (909) 390-0929

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 05D0998531 - 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 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 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.