Occupational Health Centers Of The Southwest P.A.
Clinic/Center, Health Services in South Burlington, VT. Organization (NPI-2).
NPI number1003936634
StatusActive
Last updated in NPPESDec 19, 2023
Details
- NPI
- 1003936634
- Entity type
- Organization (NPI-2)
- Legal business name
- Occupational Health Centers Of The Southwest P.A.
- Organization subpart
- No
- Enumeration date
- Mar 29, 2007
- Certification date
- Dec 19, 2023
- Last updated
- Dec 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | – | – | Yes |
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | |
| 261QX0100X | Clinic/Center, Occupational Medicine | – | – |
Other names
- Concentra Medical Center (Doing Business As)
Practice location
110 Kimball Ave.Suite 115
South Burlington, VT 05403
Phone 802-658-5756 · Fax 802-865-0042
Mailing address
5080 Spectrum DriveSuite 1200 West Tower
Addison, TX 75001
Phone 800-232-3550
Authorized official
Robert G Hassett
Vp
9723648000
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