OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST PA (NPI# 1104958289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104958289 |
| Entity Type | Organization |
| Organization Name | OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST PA |
| Other Organization Name | CONCENTRA MEDICAL CENTER |
| Practice Address |
12808 North Black Canyon Highway Phoenix AZ 85029 |
| Mailing Address |
5080 Spectrum Drive Suite 1200 West Tower Addison TX 75001 |
| Practice Telephone | 6023751155 |
| Practice Fax Number | 6028669169 |
| Mailing Telephone | 9727207768 |
| Mailing Fax Number | 2147754502 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2016-01-11 |
| Authorized Official Name | DR. JOHN ANDERSON (SENIOR VP / CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 9723648000 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Concentra Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316588742 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 6129 Airport Hotels Blvd, Louisville, KY 40213-3288 | 2019-10-07 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1982083275 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 11185 W 6th Ave, Lakewood, CO 80215-5538 | 2015-05-20 |
| 1083023626 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 337 21st Avenue North, Nashville, TN 37203 | 2014-08-07 |
| 1285050112 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 15235 E 38th Ave, Aurora, CO 80011-1239 | 2014-03-17 |
| 1417387861 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 3625 Bear Creek Court, Dallas, TX 75261-0000 | 2013-11-22 |
| 1134462955 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 150 Oak Grove Dr, Mount Sterling, KY 40353-9087 | 2013-03-29 |
| 1942550025 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 1279 S Willow St, Suite E, Manchester, NH 03103-4015 | 2012-09-14 |
| 1093075277 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 400 Marquette Ave Nw, City Hall Bldg., Basement B-06, Albuquerque, NM 87102-2147 | 2012-05-22 |
| 1467712687 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 2301 N University Ave, Lubbock, TX 79415-1717 | 2012-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST PA | 7401 Church Ranch Blvd Unit 202, Broomfield, CO 80021-5576 |
| Massachusetts Corporations | OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST PA | 5080 Spectrum Drive, 1200 West Tower, Addison, TX 75001 |
| Street Address |
12808 NORTH BLACK CANYON HIGHWAY |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356599468 | Concentra Health Services, Inc. | Clinic/Center | 12808 North Black Canyon Highway, Phoenix, AZ 85029 | 2008-09-03 |
| 1750579439 | American Current Care of Arizona Pa | Clinic/Center | 12808 North Black Canyon Highway, Phoenix, AZ 85029 | 2007-10-09 |
| 1174648323 | Rosalie E Banasiak | Preventive Medicine | 12808 North Black Canyon Highway, Phoenix, AZ 85029 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
| 1871191221 | Covenant Home Health LLC | In Home Supportive Care | 11830 N. 19th Ave, Suite 101 Pendleton, Phoenix, AZ 85029 | 2020-10-16 |
| 1508406745 | Tailored 2 U Psychiatry, Pllc | Nurse Practitioner | 4150 W Peoria Avenue, Suite 116, Phoenix, AZ 85029 | 2020-01-15 |
| 1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
| 1588128623 | Anna Debbs | Counselor | 11221 North 28th Drive, Bldg E, Phoenix, AZ 85029 | 2019-01-23 |
| 1609360007 | Melissa Lynn Denton | Specialist/Technologist | 4014 W Paradise Dr, Phoenix, AZ 85029 | 2018-06-19 |
| 1275038713 | Jamilah Amirah | Behavioral Analyst | 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 | 2018-03-27 |
| 1639687056 | Empower Home Care, LLC. | Home Health | 11225 N 28th Drive, Suite D115e, Phoenix, AZ 85029 | 2018-01-19 |
| 1467975698 | Samantha June Collett | Nurse Practitioner | 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 | 2017-07-19 |
| 1073966347 | Meka Joi Green | Social Worker | 11225 M 28th Dr, Suite C210, Phoenix, AZ 85029 | 2016-07-21 |
| Find all providers in zip 85029 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013547686 | Wesley Community Center Inc | Clinic/Center | 1510 S 19th Dr Ste 100, Phoenix, AZ 85009-6540 | 2020-01-22 |
| 1548807514 | The Horizon Chiropractic Center | Clinic/Center | 4425 East Agave Road Suite 104, Phoenix, AZ 85044 | 2019-12-09 |
| 1467953588 | Acupuncture At Work LLC | Clinic/Center | 3411 Sweet Air Rd Ste A, Phoenix, MD 21131-1825 | 2018-02-23 |
| 1104359397 | Ahavah Incorporated | Clinic/Center | 112 N Central Ave Fl 1, Phoenix, AZ 85004-2309 | 2017-04-05 |
| 1174905038 | The Source Naturopathic Medical Clinic | Clinic/Center | 550 W Indian School Rd Ste 122, Phoenix, AZ 85013-3200 | 2015-06-26 |
| 1386033199 | Greta M. Ivers, Md, Pllc | Clinic/Center | 1825 East Northern Avenue, Suite 125, Phoenix, AZ 85020 | 2015-01-16 |
| 1245667567 | Viridian Health Management | Clinic/Center | 22601 N 19th Ave Ste 240, Phoenix, AZ 85027-1362 | 2013-10-01 |
| 1033361332 | Concentra Health Services, Inc. | Clinic/Center | 3532 West Thomas Road, Phoenix, AZ 85019-4440 | 2008-10-17 |
| 1194973453 | Arizona Sports and Spine Physicians, P.C. | Clinic/Center | 3033 W Bell Rd # 101a, Phoenix, AZ 85053-3000 | 2008-08-28 |
| 1417143322 | Us Medgroup, P.a. | Clinic/Center | 1818 East Sky Harbor Circle, Suite 150, Phoenix, AZ 85034 | 2007-09-25 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.