| Organization Name: | CONCENTRA HEALTH SERVICES, INC. |
| NPI Number: | 1033361514 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANNA HARRISON (PRESIDENT / CEO) |
| Mailing Address: | 3488 Goni Rd. Suite 141, Building E Carson City |
| State: | NV US |
| Postal Code: | 897018007 |
| Phone Number: | 7758875030 |
| Fax Number: | 7758875040 |
| NPI Enumeration Date: | 10/16/2008 |
| NPI Last Update Date: | 10/16/2008 |
| 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: | |