Concentra Primary Care PA
Clinic/Center, Primary Care in Louisville, KY. Organization (NPI-2).
NPI number1609158658
StatusActive
Last updated in NPPESFeb 3, 2016
Details
- NPI
- 1609158658
- Entity type
- Organization (NPI-2)
- Legal business name
- Concentra Primary Care PA
- Organization subpart
- No
- Enumeration date
- Sep 15, 2011
- Last updated
- Feb 3, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Other names
- Concentra Primary Care (Doing Business As)
Practice location
123 E Main StLouisville, KY 40202-2371
Phone 502-580-2733 · Fax 502-580-7298
Mailing address
5080 Spectrum DrSuite 1200 West
Addison, TX 75001-4648
Phone 972-720-7772 · Fax 214-775-4502
Authorized official
Robert Hassett
President / Treasurer
9723648000
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