CONCENTRA HEALTH SERVICES INC. NPI 1891947370

NPI Information

NPI: 1891947370
Provider Name: CONCENTRA HEALTH SERVICES, INC.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 32D2022724

Address:
720 ST. MICHAELS DRIVE
SUITE C
SANTA FE, NM
ZIP 87505
Phone: (505) 438-9402
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CONCENTRA HEALTH SERVICES, INC. is a health service clinic center in Santa Fe, NM. CONCENTRA HEALTH SERVICES, INC. NPI is 1891947370. The provider is registered as an organization entity type.

The provider's business location address is:

720 ST. MICHAELS DRIVE
SUITE C
SANTA FE, NM
ZIP 87505-600
Phone: (505) 438-9402
Fax: (505) 471-9240

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 32D2022724 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2008 and was last updated on 10/16/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

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

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