NPIMap

Organization Active NPI

Concentra Primary Care PA

Doing business as Louisville Metro Government Employee Wellness Center

  • Primary Care Clinic/Center
  • Louisville, KY
National Provider Identifier
1821842576
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CONCENTRA PRIMARY CARE PA
Doing business as
Louisville Metro Government Employee Wellness Center
Practice address
400 S 1St St
Louisville, KY 40202-1416
Phone
(502) 580-2733
Fax
(502) 580-7298
NPI assigned
Apr 17, 2024
Last updated
Apr 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Health Service Clinic/Center 261QH0100X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

400 S 1St St
Louisville, KY 40202-1416

Mailing address

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

Other names 1

  • Louisville Metro Government Employee Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Concentra Primary Care44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1821842576",
    "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": "400 S 1ST ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021416",
            "telephone_number": "502-580-2733",
            "fax_number": "502-580-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCENTRA PRIMARY CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "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": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisville Metro Government Employee Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.