CONCENTRA HEALTH SERVICES, INC. (NPI# 1770748618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770748618 |
| Entity Type | Organization |
| Organization Name | CONCENTRA HEALTH SERVICES, INC. |
| Practice Address |
4223 Moreland Ave Hwy 42 Conley GA 30288-2141 |
| Mailing Address |
5080 Spectrum Drive Suite 1200 West Addison TX 75001-4648 |
| Practice Telephone | 4043662900 |
| Practice Fax Number | 4043662994 |
| Mailing Telephone | 8002323550 |
| Mailing Fax Number | 2147754515 |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2009-04-21 |
| Authorized Official Name | MR. KEITH NEWTON (PRESIDENT) |
| Authorized Official Telephone | 9723648106 |
| 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 |
| 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 |
| Oklahoma Business Registrations | CONCENTRA HEALTH SERVICES, INC. | 3010 Lbj Frwy, Ste 400, Dallas, TX 75234 |
| New York State Corporations | CONCENTRA HEALTH SERVICES, INC. | 28 Liberty St., New York, Ny 10005 |
| Street Address |
4223 MORELAND AVE HWY 42 |
| City | CONLEY |
| State | GA |
| Zip Code | 30288-2141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720333198 | Lonuis Lucky | Adult Companion | 1625 Conley Rd. 222, Conley, GA 30288 | 2012-07-20 |
| 1356534242 | American Current Care Pa | Clinic/Center | 4223 Moreland Avenue Hwy 42, Conley, GA 30288 | 2007-08-23 |
| 1114044245 | Harriette L Badger | Physician Assistant | 4223 Highway 42, Conley, GA 30288 | 2007-03-23 |
| 1871502807 | Occupational Health Centers of Georgia PC | Clinic/Center | 4223 Morland Ave., Highway 42, Conley, GA 30288 | 2006-08-07 |
| 1306963442 | Harlan G Lebow | Preventive Medicine | 4223 Highway 42, Conley, GA 30288 | 2007-03-23 |
| 1205199163 | 24/7 Drug & Alcohol Testing Center | Clinical Medical Laboratory | 1397 Cedar Grove Rd, Conley, GA 30288-1107 | 2012-06-15 |
| 1437795788 | Melanie Stone | Technician | 1789 Claron Ave, Conley, GA 30288-1308 | 2019-11-21 |
| 1720590607 | Fremetia Kaye Anderson | Counselor | 4205 Janjolin Dr, Conley, GA 30288-1309 | 2017-10-31 |
| 1881063576 | Entelechy Rehab, LLC | Clinic/Center | 4015 Moore Creek Dr, Conley, GA 30288-1359 | 2015-09-23 |
| 1407144009 | Catherine Roberts | Counselor | 4040 Moore Creek Dr, Conley, GA 30288-1360 | 2011-07-16 |
| Find all providers in zip 30288 | ||||
| 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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| 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.