Provider Demographics
NPI:1043469273
Name:CONCERTO SERVICES, INC.
Entity Type:Organization
Organization Name:CONCERTO SERVICES, INC.
Other - Org Name:FIDELIS HEALTHCARE SERVICES, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:RITA
Authorized Official - Last Name:BECKER
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:919-398-8413
Mailing Address - Street 1:2030 MAIN STREET
Mailing Address - Street 2:SUITE 600
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614
Mailing Address - Country:US
Mailing Address - Phone:949-537-3400
Mailing Address - Fax:866-534-5485
Practice Address - Street 1:2030 MAIN STREET
Practice Address - Street 2:SUITE 600
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614
Practice Address - Country:US
Practice Address - Phone:919-537-3400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-11
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty