NPIMap

Organization Active NPI

Concentra Health Services Inc

Doing business as Concentra Medical Compliance Administration

  • Mobile Radiology Clinic/Center
  • Tatum, TX
National Provider Identifier
1003180159
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
CONCENTRA HEALTH SERVICES INC
Doing business as
Concentra Medical Compliance Administration
Practice address
8850 FM 2658 N
Tatum, TX 75691-3401
Phone
(855) 289-6757
Fax
(800) 310-5984
NPI assigned
Mar 6, 2012
Last updated
Mar 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Tom Fogarty, MD
Title
President
Phone
(972) 364-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

8850 FM 2658 N
Tatum, TX 75691-3401

Mailing address

PO Box 9008
Broomfield, CO 80021-9008

Other names 1

  • Concentra Medical Compliance Administration Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Concentra Medical Center - KC Lenexa293 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1003180159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9008",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800219008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8850 FM 2658 N",
            "city": "TATUM",
            "state": "TX",
            "postal_code": "756913401",
            "telephone_number": "855-289-6757",
            "fax_number": "800-310-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCENTRA HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "FOGARTY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-364-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concentra Medical Compliance Administration",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tatum, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.