CONCENTRA HEALTH SERVICES INC. NPI 1992961288

NPI Information

  • NPI: 1992961288
  • Provider Name: CONCENTRA HEALTH SERVICES, INC.
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • CLIA Number: 21D0897546
  • Address: 811 CROMWELL PARK DRIVE
    SUITE 104
    GLEN BURNIE, MD
    ZIP 21061
  • Phone: (410) 553-0110

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NPI Details

CONCENTRA HEALTH SERVICES, INC. is a health service clinic center in Glen Burnie, MD. CONCENTRA HEALTH SERVICES, INC. NPI is 1992961288. The provider is registered as an organization entity type.

The provider's business location address is:

811 CROMWELL PARK DRIVE
SUITE 104
GLEN BURNIE, MD
ZIP 21061-566
Phone: (410) 553-0110
Fax: (410) 553-0197

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 21D0897546 - 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11316988041OTHERMARYLANDGROUP NPI
2216684MEDICARE OSCAR/CERTIFICATIONMARYLAND

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: 11/21/2025

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