# CONCENTRA HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Concentra Medical Compliance Administration
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003180159
- **Authorized official:** WILLIAM TOM FOGARTY MD (PRESIDENT)
- **Authorized official phone:** (972) 364-8000

## Contact information

- **Practice address:** 8850 FM 2658 N, TATUM, TX 75691-3401
- **Practice address phone:** (855) 289-6757
- **Practice address fax:** (800) 310-5984
- **Mailing address:** PO BOX 9008, BROOMFIELD, CO 80021-9008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/06/2012
- **Last updated:** 03/08/2012