Concentra Health Services, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CONCENTRA HEALTH SERVICES, INC.

Practice address

100 S. Charles Street
Suite 150
Baltimore, MD 21201-2725

Phone

(410) 752-3010

Fax

(410) 539-7023

NPI assigned

Aug 6, 2008

Organization subpart

No

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

Authorized official

Name

Keith Newton

Title

President / Ceo

Phone

(972) 364-8106

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1710143003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DRIVE",
            "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": "100 S. CHARLES STREET",
            "address_2": "SUITE 150",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012725",
            "telephone_number": "410-752-3010",
            "fax_number": "410-539-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCENTRA HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "972-364-8106"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1316988041",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelly Conaway, CRNP
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• Lourdes Dianne Concepcion Caban, PHD
• Concerted Care Group Baltimore Substance Use Services
• Concerted Care Group Baltimore, LLC
• Concerted Care Group Baltimore, LLC

• Health Service Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Health Service Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.