Organization
CONCENTRA HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH NEWTON (PRESIDENT / CEO)
(972) 364-8106
Entity
Organization
Contact information
Practice address
811 CROMWELL PARK DRIVE, SUITE 104, GLEN BURNIE, MD 21061-2566
(410) 553-0110
(410) 553-0197
Mailing address
5080 SPECTRUM DRIVE, SUITE 1200 WEST TOWER, ADDISON, TX 75001-4648
(800) 232-3550
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316988041
GROUP NPI
MD
Enumeration date
08/06/2008
Last updated
02/02/2009
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