Basic Information
| Provider Information | |||||||||
| NPI: | 1033374764 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CONCENTRA AKRON L.L.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5080 SPECTRUM DRIVE | ||||||||
| Address2: | SUITE 1200 WEST | ||||||||
| City: | ADDISON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750014625 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8002323550 | ||||||||
| FaxNumber: | 9723878058 | ||||||||
| Practice Location | |||||||||
| Address1: | 1450 FIRESTONE PARKWAY | ||||||||
| Address2: | SUITE F | ||||||||
| City: | AKRON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3307243345 | ||||||||
| FaxNumber: | 3307245299 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/22/2008 | ||||||||
| LastUpdateDate: | 06/26/2015 | ||||||||
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| AuthorizedOfficialLastName: | NEWTON | ||||||||
| AuthorizedOfficialFirstName: | KEITH | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9723648000 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QH0100X | N | Ambulatory Health Care Facilities | Clinic/Center | Health Service | 261Q00000X | Y | Ambulatory Health Care Facilities | Clinic/Center |
No ID Information.