OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST PA (NPI# 1770616609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770616609 |
| Entity Type | Organization |
| Organization Name | OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST PA |
| Other Organization Name | CONCENTRA MEDICAL CENTER |
| Practice Address |
120 West Fine Street Flagstaff AZ 86001 |
| Mailing Address |
5080 Spectrum Drive Suite 1200 West Tower Addison TX 75001-4648 |
| Practice Telephone | 9287739695 |
| Practice Fax Number | 9287730208 |
| Mailing Telephone | 8002323550 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2010-07-21 |
| Authorized Official Name | DR. WILLIAM TOM FOGARTY (SENIOR VP / CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 9723648103 |
| Authorized Official Credential | MD |
| 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 | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
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 |
120 WEST FINE STREET |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093963100 | Concentra Health Services, Inc. | Clinic/Center | 120 West Fine Street, Flagstaff, AZ 86001 | 2008-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| 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 |
|---|---|---|---|---|
| 1730613886 | The Lymphedemobile Pllc | Clinic/Center | 4446 E Joey Ave, Flagstaff, AZ 86004-2415 | 2017-04-16 |
| 1285956284 | A To Z Vision Inc | Clinic/Center | 1851 E Butler Ave, Flagstaff, AZ 86001-5911 | 2010-02-18 |
| 1093963100 | Concentra Health Services, Inc. | Clinic/Center | 120 West Fine Street, Flagstaff, AZ 86001 | 2008-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447865589 | Best Life Medical | Clinic/Center | 1011 W Elliot Rd, Gilbert, AZ 85233-5171 | 2020-09-15 |
| 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 |
| 1528604923 | Maricopa County Special Health Care District | Clinic/Center | 8088 West Whitney Dr., Peoria, AZ 85345 | 2019-11-20 |
| 1114561107 | Vista Mobile Health, LLC | Clinic/Center | 10752 N 89th Pl # 104a-1, Scottsdale, AZ 85260-6730 | 2019-11-01 |
| 1477104362 | Modern Recovery, LLC | Clinic/Center | 4820 S Mill Ave Ste 203, Tempe, AZ 85282-7734 | 2019-09-23 |
| 1063068898 | Ambest Family Health Clinics, Pllc | Clinic/Center | 4841 S Mesa Villas Dr Apt 3, Fort Mohave, AZ 86426-6436 | 2019-08-16 |
| 1073178133 | Tammy Lynn Undiemi | Clinic/Center | 27575 N 172nd Ln, Surprise, AZ 85387-1126 | 2019-05-04 |
| 1871058891 | Dental and Braces Maryvale LLC | Clinic/Center | 6702 W Camelback Rd Ste 100, Glendale, AZ 85303-6324 | 2019-02-04 |
| 1154806446 | Cook Family Healthcare & Professional Services, PC | Clinic/Center | 9700 N. 91st. Street, Ste. A-115, Scottsdlae, AZ 85258 | 2018-10-02 |
| Find all providers with the same taxonomy | ||||
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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.