CONCENTRA HEALTH CARE PA – NPI #1558651687
Clinic/Center

CONCENTRA HEALTH CARE PA is an AHC clinic located in LAWTON, OK. NPPES has assigned the NPI number 1558651687 to CONCENTRA HEALTH CARE PA on April 11, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

The NPI profile was previously updated about 15 years ago on May 18, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CONCENTRA HEALTH CARE PA below.

NPI Profile for
CONCENTRA HEALTH CARE PA

NPI Number
1558651687
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CONCENTRA HEALTH CARE PA
Primary location
901 GOODYEAR BOULEVARD
LAWTON, OK 73505
Phone: (580) 531-5878 Fax: (580) 531-5779
Mailing address
5080 SPECTRUM DRIVE
SUITE 1200 WEST
ADDISON, TX 75001-4624
Phone: Fax:
Organization Subpart
No
Authorized Official
WILLIAM FOGARTY
PRESIDENT
Phone: (972) 364-8000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QH0100X
- Clinic/Center / Health Service (Primary)
261Q00000X
- Clinic/Center

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.