| Entity Name: | CONCENTRA HEALTH SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Active |
| Date Filed: | 18 Sep 1997 (27 years ago) |
| Document Number: | F97000004888 |
| FEI/EIN Number | 752510547 |
| Mail Address: | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055, US |
| Address: | 5080 SPECTRUM DRIVE, SUITE 1200, ADDISON, TX, 75001, US |
| Place of Formation: | NEVADA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043448087 | 2009-06-29 | 2009-06-29 | 5080 SPECTRUM DR, SUITE 1200 WEST, ADDISON, TX, 750014648, US | 10205 S DIXIE HWY, HWY 102, PINECREST, FL, 331563167, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 972-364-8000 |
| Phone | +1 305-666-5971 |
Authorized person
| Name | MR. W KEITH NEWTON |
| Role | PRESIDENT |
| Phone | 9723648000 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| TARVIN MICHAEL E | Director | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055 |
| Name | Role | Address |
|---|---|---|
| DUGGAN JOHN F | Vice President | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055 |
| Name | Role | Address |
|---|---|---|
| Veit Joel T | Treasurer | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055 |
| Name | Role | Address |
|---|---|---|
| DiCanio Matthew T | President | 5080 SPECTRUM DRIVE, ADDISON, TX, 75001 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000054011 | CONCENTRA MEDICAL COMPLIANCE ADMINISTRATION | ACTIVE | 2023-04-28 | 2028-12-31 | No data | 4714 GETTYSBURG RD, MECHANICSBURG, PA, 17055 |
| G20000066260 | CONCENTRA | ACTIVE | 2020-06-12 | 2025-12-31 | No data | 4714 GETTYSBURG RD, MECHANICSBURG, PA, 17055 |
| G20000066261 | CONCENTRA MEDICAL CENTERS | ACTIVE | 2020-06-12 | 2025-12-31 | No data | 4714 GETTYSBURG RD, MECHANICSBURG, PA, 17055 |
| G20000066264 | CONCENTRA ADVANCED SPECIALISTS | ACTIVE | 2020-06-12 | 2025-12-31 | No data | 4714 GETTYSBURG RD, MECHANICSBURG, PA, 17055 |
| G20000066263 | CONCENTRA PHYSICAL THERAPY | ACTIVE | 2020-06-12 | 2025-12-31 | No data | 4714 GETTYSBURG RD, MECHANICSBURG, PA, 17055 |
| G20000066265 | WORKERS' COMPENSATION MEDICAL CENTERS | ACTIVE | 2020-06-12 | 2025-12-31 | No data | 4714 GETTYSBURG RD, MECHANICSBURG, PA, 17055 |
| G09000144754 | CONCENTRA URGENT CARE | ACTIVE | 2009-08-11 | 2029-12-31 | No data | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055 |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J21000282883 | TERMINATED | 1000000890237 | DUVAL | 2021-05-30 | 2041-06-09 | $ 31,007.47 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
