CONCENTRA HEALTH CARE PA (NPI# 1528359502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528359502 |
| Entity Type | Organization |
| Organization Name | CONCENTRA HEALTH CARE PA |
| Practice Address |
2140 Mendon Rd Suite 101a Cumberland RI 02864-3833 |
| Mailing Address |
5080 Spectrum Drive Suite 1200 West Addison TX 75001-4624 |
| Practice Telephone | 4014753000 |
| Practice Fax Number | 4014753204 |
| Mailing Telephone | 9723648000 |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-05-18 |
| Authorized Official Name | WILLIAM TOM FOGARTY (PRESIDENT) |
| Authorized Official Telephone | 9723648000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558651687 | Concentra Health Care Pa | Clinic/Center | 901 Goodyear Boulevard, Lawton, OK 73505 | 2011-04-11 |
| 1811295116 | Concentra Health Care Pa | Clinic/Center | 5080 Spectrum Drive, Suite 1200 West Tower, Addison, TX 75001-4624 | 2011-03-10 |
| 1548568843 | Concentra Health Care Pa | Clinic/Center | 5080 Spectrum Drive, Suite 1200 West Tower, Addison, TX 75001-4624 | 2011-03-10 |
| 1013215524 | Concentra Health Care Pa | Clinic/Center | 5080 Spectrum Dr, Suite 1200 West Tower, Addison, TX 75001-4624 | 2011-03-08 |
| Street Address |
2140 MENDON RD SUITE 101A |
| City | CUMBERLAND |
| State | RI |
| Zip Code | 02864-3833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184690299 | Gina Gerardine La Prova | Family Medicine | 2140 Mendon Rd, Cumberland, RI 02864-3843 | 2006-02-28 |
| 1821650136 | Jordan Benjamin Raheb | Physician Assistant | 2140 Mendon Rd, Cumberland, RI 02864-3843 | 2019-07-08 |
| 1396274494 | Michael Pacheco | Nurse Practitioner | 2140 Mendon Rd, Cumberland, RI 02864-3843 | 2017-06-12 |
| 1265800023 | Andre Covacha | Physician Assistant | 2140 Mendon Rd, Cumberland, RI 02864 | 2015-09-10 |
| 1508241795 | Ocean State Urgent Care | Physician Assistant | 2140 Mendon Rd, Cumberland, RI 02864-3843 | 2015-07-29 |
| 1417332685 | Natasha R Carvalho | Physician Assistant | 2140 Mendon Rd, Cumberland, RI 02864-3843 | 2015-07-29 |
| 1275971400 | Ocean State Urgent Care Center of Cumberland, LLC | Clinic/Center | 2140 Mendon Rd, Cumberland, RI 02864-3843 | 2013-06-10 |
| 1427355791 | Nri Pediatrics PC | Pediatrics | 2140 Mendon Rd, Suite 201, Cumberland, RI 02864-3833 | 2011-02-22 |
| 1689975492 | American Current Care Pa | Clinic/Center | 2140 Mendon Rd, Suite 101a, Cumberland, RI 02864-3833 | 2010-11-10 |
| 1730480815 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 2140 Mendon Rd, Suite 101a, Cumberland, RI 02864-3833 | 2010-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855335 | Kalee Kareemo | Physical Therapist | 1764 Mendon Rd., Suite 6, Cumberland, RI 02864 | 2020-09-15 |
| 1861930489 | Emily Elizabeth Sullivan | Registered Nurse | 106 Nate Whipple Hwy Ste 101, Cumberland, RI 02864 | 2017-02-02 |
| 1649613399 | Nathan Charpentier | Pharmacist | 1623 Mendon Rd, Cumberland, RI 02864 | 2013-04-12 |
| 1548503840 | Constantine Pagonis | Internal Medicine | 350 West Wrentham Road, Cumberland, RI 02864 | 2013-04-04 |
| 1124366778 | Tina Deroy | Physical Therapist | 100 Chambers Street, Cumberland, RI 02864 | 2013-01-16 |
| 1437432689 | Concentra Primary Care Pa | Clinic/Center | 2140 Mendon Road, Suite 101a, Cumberland, RI 02864 | 2011-09-23 |
| 1245409978 | Kelly Ann Watier | Massage Therapist | 2180 Mendon Rd, Suite #32, Cumberland, RI 02864 | 2008-02-27 |
| 1003026725 | James Richard Ratcliffe | Dentist | 10 Chambers Street, Cumberland, RI 02864 | 2007-05-23 |
| 1184740706 | Paulo Jorge Da Rosa | Dentist | 20 Mill St., Suite #3, Cumberland, RI 02864 | 2007-03-22 |
| 1942325980 | Angeles V Felix | Dentist | 490 High St, Cumberland, RI 02864 | 2007-03-20 |
| Find all providers in zip 02864 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437432689 | Concentra Primary Care Pa | Clinic/Center | 2140 Mendon Road, Suite 101a, Cumberland, RI 02864 | 2011-09-23 |
| 1316939614 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 18880 N Us Highway 119, Cumberland, KY 40823-8106 | 2005-08-22 |
| 1508166752 | Mountain View Primary Care Inc | Clinic/Center | 1602 Ford Ave, Cumberland, MD 21502-4612 | 2010-10-21 |
| 1568669869 | Primary Care of Northern Rhode Island | Clinic/Center | 2140 Mendon Rd, Cumberland, RI 02864-3833 | 2007-06-29 |
| 1174532238 | F Daniel Jackson, Md, Pa | Clinic/Center | 130 Pennsylvania Ave, Cumberland, MD 21502-4236 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700420106 | Alexa S Gladstone | Clinic/Center | 333 School St # 112, Pawtucket, RI 02860-5334 | 2019-10-30 |
| 1568667848 | Wellnorth Medical LLC | Clinic/Center | 1630 Mineral Spring Ave, 2, North Providence, RI 02904-4025 | 2007-06-18 |
| 1235275207 | Summit Medical Group | Clinic/Center | 100 Highland Ave Ste 307, Providence, RI 02906-2753 | 2007-01-29 |
| 1174141345 | Stillwater Primary Care Ltd | Clinic/Center | 712 Putnam Pike Unit 2, Chepachet, RI 02814-1404 | 2020-07-14 |
| 1356965859 | Berghelli Internal Medicine, LLC | Clinic/Center | 2358 S County Trl, East Greenwich, RI 02818-1583 | 2020-06-01 |
| 1063984813 | Osh - Ri Physicians Group, PC | Clinic/Center | 300 Quaker Ln # C2-4, Warwick, RI 02886-0159 | 2018-12-18 |
| 1407222789 | Direct Doctors, Inc. | Clinic/Center | 320 Phillips St Ste 203, North Kingstown, RI 02852-5149 | 2015-08-20 |
| 1386041507 | Family Doctor Plus Ri LLC | Clinic/Center | 553 Kingstown Rd, Wakefield, RI 02879-3600 | 2014-12-03 |
| 1255606844 | Concentra Primary Care Pa | Clinic/Center | 400 Bald Hill Rd, Suite 511, Warwick, RI 02886-1617 | 2012-03-14 |
| 1548538473 | Primary Care Partners | Clinic/Center | 2756 Post Rd, Warwick, RI 02886-3003 | 2011-12-07 |
| Find all providers with the same taxonomy | ||||
| City | CUMBERLAND |
| Zip Code | 02864 |
Please comment or provide details below to improve the information on CONCENTRA HEALTH CARE PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.