Organization Name: | CONCENTRA HEALTH SERVICES, INC. |
NPI Number: | 1013166040 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEITH NEWTON (PRESIDENT / CEO) |
Mailing Address: | 2587 Merced Street San Leandro |
State: | CA US |
Postal Code: | 94577 |
Phone Number: | 5103513553 |
Fax Number: | 5103513585 |
NPI Enumeration Date: | 09/15/2008 |
NPI Last Update Date: | 09/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |