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CONCENTRA HEALTH SERVICES INC. NPI 1710143003


NPI Information

NPI: 1710143003
Provider Name: CONCENTRA HEALTH SERVICES, INC.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 21D0897536

Address:
100 S. CHARLES STREET
SUITE 150
BALTIMORE, MD
ZIP 21201
Phone: (410) 752-3010
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CONCENTRA HEALTH SERVICES, INC. is a health service clinic center in Baltimore, MD. CONCENTRA HEALTH SERVICES, INC. NPI is 1710143003. The provider is registered as an organization entity type.

The provider's business location address is:

100 S. CHARLES STREET
SUITE 150
BALTIMORE, MD
ZIP 21201-725
Phone: (410) 752-3010
Fax: (410) 539-7023

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 21D0897536 - 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QH0100XClinic/CenterHealth ServiceYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1216684MEDICARE OSCAR/CERTIFICATIONMARYLAND
21316988041OTHERMARYLANDGROUP 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

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.