CONCENTRA HEALTH SERVICES, INC. (NPI# 1356599468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356599468 |
| Entity Type | Organization |
| Organization Name | CONCENTRA HEALTH SERVICES, INC. |
| 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 | 8002323550 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-30 |
| Authorized Official Name | KEITH NEWTON (PRESIDENT / CEO) |
| Authorized Official Telephone | 9723648106 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033361332 | Concentra Health Services, Inc. | Clinic/Center | 3532 West Thomas Road, Phoenix, AZ 85019-4440 | 2008-10-17 |
| 1275785750 | Concentra Health Services, Inc. | Clinic/Center | 10b Madison Ave., Albany, NY 12203 | 2008-10-16 |
| 1720230139 | Concentra Health Services, Inc. | Clinic/Center | 7800 Nw 25th St., Suite 4, Miami, FL 33122-1625 | 2008-10-16 |
| 1598917072 | Concentra Health Services, Inc. | Clinic/Center | 574 Summit Avenue, Jersey City, NJ 07306-2708 | 2008-10-16 |
| 1700038270 | Concentra Health Services, Inc. | Clinic/Center | 436 44th Street Se, Suite A, Grand Rapids, MI 49548-4371 | 2008-10-16 |
| 1295987766 | Concentra Health Services, Inc. | Clinic/Center | 2835 Jeff Adams Dr., #a, Charlotte, NC 28206-1061 | 2008-10-16 |
| 1306098876 | Concentra Health Services, Inc. | Clinic/Center | 627 East Maple Road, Suite 200, Troy, MI 48083-2812 | 2008-10-16 |
| 1598917064 | Concentra Health Services, Inc. | Clinic/Center | 1915 N. Perry Street, Pontiac, MI 48340-2237 | 2008-10-16 |
| 1912159336 | Concentra Health Services, Inc. | Clinic/Center | 4221 Tuckaseegee Rd., Charlotte, NC 28208-2801 | 2008-10-16 |
| 1043462518 | Concentra Health Services, Inc. | Clinic/Center | 26185 Greenfield Road, Southfield, MI 48075-4709 | 2008-10-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CONCENTRA HEALTH SERVICES, INC. | 5080 Spectrum Dr 1200 W Tower, Addison, TX 75001 |
| Iowa Business Entities | CONCENTRA HEALTH SERVICES, INC. | 4714 Gettysburg Road, Mechanicsburg, PA 17055 |
| Oregon Corporations, Companies and Business Names | CONCENTRA HEALTH SERVICES, INC. | 5080 Spectrum Dr, 1200 W Tower, Addison, TX 75001 |
| Massachusetts Corporations | CONCENTRA HEALTH SERVICES, INC. | 5080 Spectrum Dr., Suite 1200 West Tower, Addison, TX 75001 |
| System for Award Management (SAM) Entities | CONCENTRA HEALTH SERVICES, INC. | 30800 Telegraph Rd Ste 39, Bingham Farms, MI 48025-4542 |
| Colorado Business Entities | CONCENTRA HEALTH SERVICES, INC. | 5080 Spectrum Dr, 1200 West Tower, Addison, TX 75001 |
| Vermont Business Registrations | CONCENTRA HEALTH SERVICES, INC. | 4714 Gettysburg Road, Mechanicsburg, PA 17055 |
| Street Address |
12808 NORTH BLACK CANYON HIGHWAY |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104958289 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 12808 North Black Canyon Highway, Phoenix, AZ 85029 | 2007-03-12 |
| 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] |
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| 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.