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CONCENTRA HEALTH SERVICES INC NPI 1003180159


NPI Information

NPI: 1003180159
Provider Name: CONCENTRA HEALTH SERVICES INC

Doing Business As: CONCENTRA MEDICAL COMPLIANCE ADMINISTRATION

Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
8850 FM 2658 N
TATUM, TX
ZIP 75691
Phone: (855) 289-6757
Get Directions

CONCENTRA HEALTH SERVICES INC is a radiology and mobile clinic center in Tatum, TX. CONCENTRA HEALTH SERVICES INC NPI is 1003180159. The provider is registered as an organization entity type.
The provider Is Doing Business As Concentra Medical Compliance Administration.

The provider's business location address is:

8850 FM 2658 N
TATUM, TX
ZIP 75691-401
Phone: (855) 289-6757
Fax: (800) 310-5984

The provider's authorized official is William Tom Fogarty .
The authorized official title is President and has the following contact phone number (972) 364-8000.

The enumeration date for this NPI number is 3/6/2012 and was last updated on 3/8/2012.


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
1261QR0208XClinic/CenterRadiology, MobileYes

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: 5/5/2024

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