AETNA WELNESS WORKS CENTER – NPI #1881919777
Clinic/Center

AETNA WELNESS WORKS CENTER is an AHC clinic located in ADDISON, TX. NPPES has assigned the NPI number 1881919777 to AETNA WELNESS WORKS CENTER on April 02, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AETNA WELNESS WORKS CENTER” is a dba name, the actual legal business name for this organization is CONCENTRA WORKSITE OF ARIZONA, PA. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

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 AETNA WELNESS WORKS CENTER below.

NPI Profile for
CONCENTRA WORKSITE OF ARIZONA, PA

NPI Number
1881919777
Enumeration Date

(more than 16 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 WORKSITE OF ARIZONA, PA
Doing Business As (dba): AETNA WELNESS WORKS CENTER
Primary location
5080 SPECTRUM DR
SUITE 1200W
ADDISON, TX 75001-4648
Phone: (972) 364-8000 Fax:
Mailing address
4645 E COTTON CENTER BLVD
BLDG 1 - F829
PHOENIX, AZ 85040-8874
Phone: (602) 586-1854 Fax: (602) 431-7078
Organization Subpart
No
Authorized Official
TOM FOGARTY
SENIOR VP / CHIEF MEDICAL OFFICER
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
261QU0200X
- Clinic/Center / Urgent Care (Primary)

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.