CONCENTRA HEALTH SEVICES, INC. (NPI# 1871758599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871758599 |
| Entity Type | Organization |
| Organization Name | CONCENTRA HEALTH SEVICES, INC. |
| Practice Address |
109 Minis Ave Suite C -10 Garden City GA 31408-2128 |
| Mailing Address |
5080 Spectrum Dr Suite 1200 West Tower Addison TX 75001-4648 |
| Practice Telephone | 9129665445 |
| Practice Fax Number | 9129665955 |
| Mailing Telephone | 8002323550 |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |
| Authorized Official Name | DR. TOM FOGARTY (EVP, CMO) |
| Authorized Official Telephone | 8002323550 |
| 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 | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
109 MINIS AVE SUITE C -10 |
| City | GARDEN CITY |
| State | GA |
| Zip Code | 31408-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558394627 | Maria Krichever | Family Medicine | 109 Minis Ave, Suite C-10, Garden City, GA 31408-2128 | 2006-07-09 |
| 1174920615 | Tyger Cyerra Naomi Meade Clayton | Physician Assistant | 109 Minis Ave, Garden City, GA 31408-2128 | 2014-11-26 |
| 1518122605 | Peter John Kowalski | Physician Assistant | 109 Minis Ave, Suite C10, Garden City, GA 31408-2128 | 2008-07-28 |
| 1134388911 | Karen S. Mincey | Preventive Medicine | 109 Minis Ave, Suite C-10, Garden City, GA 31408-2128 | 2008-06-05 |
| 1780706689 | Michael N. Leblang | Preventive Medicine | 109 Minis Ave, Suite C-10, Garden City, GA 31408-2128 | 2007-04-04 |
| 1215078464 | John M Zimmerman | Family Medicine | 109 Minis Ave, Garden City, GA 31408-2128 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104046044 | Urban Family Chiropractic Life Ctr | Chiropractor | 10 Harrell Drive, Garden City, GA 31408 | 2007-04-25 |
| 1750509295 | Mary M. Elkins | Pharmacist | 8204 Augusta Road, Quick Rx, Garden City, GA 31408 | 2007-04-22 |
| 1871610196 | Paul R Cleveland | Physical Therapist | 109 Minus Avenue Suite C-10, Garden Grove Shopping Center, Garden City, GA 31408 | 2007-03-23 |
| 1518092014 | Occupational Health Centers of Georgia PC | Clinic/Center | 109 Minus Ave, Suite C-10, Garden City, GA 31408 | 2007-02-23 |
| 1669559753 | Quick Rx Drugs Inc | Pharmacy | 516 Hwy 80, Garden City, GA 31408 | 2006-11-01 |
| 1235758566 | Tulsi Patel | Physician Assistant | 109 Minus Avenue, Suite 10, Garden City, GA 31408 | 2020-04-16 |
| 1225432206 | Seth M Underwood | Chiropractor | 109 Minus Ave, Suite C-2, Garden City, GA 31408 | 2014-10-20 |
| 1336390640 | Concentra Health Services, Inc. | Clinic/Center | 109 Minus Avenue, Suite C-10, Garden City, GA 31408 | 2008-10-06 |
| 1831216738 | Brenda Howard | Counselor | 200 Gulfstream Rd, Garden City, GA 31408 | 2007-03-23 |
| 1588845655 | Richard Wallace Thomas | Family Medicine | 6b Crager Ct, Garden City, GA 31408-1314 | 2007-11-17 |
| Find all providers in zip 31408 | ||||
| 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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| 1912205337 | Wasinger Chiropractic & Acupuncture, LLC | Clinic/Center | 1811 E Mary St, Ste A1, Garden City, KS 67846-3880 | 2011-03-09 |
| 1336390640 | Concentra Health Services, Inc. | Clinic/Center | 109 Minus Avenue, Suite C-10, Garden City, GA 31408 | 2008-10-06 |
| 1235251596 | Ny Best Perinatal | Clinic/Center | 901 Stewart Ave, Suite 245, Garden City, NY 11530-4893 | 2007-04-05 |
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| Find all providers with the same taxonomy | ||||
| City | GARDEN CITY |
| Zip Code | 31408 |
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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.