NPIMap

Organization Active NPI

Concentra Health Serivces, Inc.

  • Health Service Clinic/Center
  • Cicero, IL
National Provider Identifier
1487368155
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CONCENTRA HEALTH SERIVCES, INC.
Practice address
6001 W Pershing Rd
Cicero, IL 60804-4112
Phone
(708) 588-4260
Fax
(708) 588-4215
NPI assigned
Jan 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Authorized official

Name
Robert G Hassett
Title
VP
Phone
(972) 364-8000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Health Service Clinic/Center 261QH0100X Primary
Physical Therapy Clinic/Center 261QP2000X
Occupational Medicine Clinic/Center 261QX0100X

Addresses

Primary practice location

6001 W Pershing Rd
Cicero, IL 60804-4112

Mailing address

5080 Spectrum Dr Ste 1200W
Addison, TX 75001-4624

Other names 1

  • Metropolitan Water - Stickney Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Concentra Urgent Care - Sunshine Miami293 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

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": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1487368155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DR STE 1200W",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 W PERSHING RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608044112",
            "telephone_number": "708-588-4260",
            "fax_number": "708-588-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCENTRA HEALTH SERIVCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "HASSETT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "972-364-8000"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metropolitan Water - Stickney",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cicero, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.