Organization
CONCENTRA HEALTH SERIVCES, INC.
Active
Other names
Penney's On-site Clinic-PC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT G HASSETT (VP)
(972) 364-8000
Entity
Organization
Contact information
Practice address
5555 SCARBOROUGH BLVD, COLUMBUS, OH 43232-4730
(614) 863-7199
(614) 863-7048
Mailing address
5080 SPECTRUM DR STE 1200W, ADDISON, TX 75001-4624
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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