NPIMap

Organization Active NPI

Occupational Health Centers of Illinois PC

Doing business as dba, Concentra Medical Centers

  • Health Service Clinic/Center
  • Moline, IL
National Provider Identifier
1659536456
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
OCCUPATIONAL HEALTH CENTERS OF ILLINOIS PC
Doing business as
dba, Concentra Medical Centers
Practice address
2430 River Dr
Moline, IL 61265-1564
Phone
(309) 736-6009
Fax
(309) 762-7760
NPI assigned
Jul 22, 2008
Last updated
Sep 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Authorized official

Name
Raad A YaldoNPI 1598886996
Title
President
Phone
(972) 364-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

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

Addresses

Primary practice location

2430 River Dr
Moline, IL 61265-1564

Mailing address

5080 Spectrum Dr
Suite 1200 West Tower
Addison, TX 75001-4648
Phone (800) 232-3550

Other names 1

  • dba, Concentra Medical Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Occupational Health Centers of Illinois PC55 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

View all 24

Locations

2430 River Dr
Moline, IL 61265
Phone (309) 736-6009

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1659536456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DR",
            "address_2": "SUITE 1200 WEST TOWER",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014648",
            "telephone_number": "800-232-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 RIVER DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612651564",
            "telephone_number": "309-736-6009",
            "fax_number": "309-762-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL HEALTH CENTERS OF ILLINOIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "YALDO",
        "authorized_official_first_name": "RAAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-364-8000"
    },
    "taxonomies": [
        {
            "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": "dba, Concentra Medical Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "dba, Concentra Medical Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.