CONCENTRA MEDICAL CENTERS
NPI 1093075277
Clinic/Center - Health Service in Albuquerque, NM

NPI Status: Active since May 22, 2012

Contact Information

400 MARQUETTE AVE NW
CITY HALL BLDG., BASEMENT B-06
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 768-4630
Fax: (505) 768-2853

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  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 32D2033412
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-30-2025

About CONCENTRA MEDICAL CENTERS

This page provides the complete NPI Profile along with additional information for Concentra Medical Centers, a provider established in Albuquerque, New Mexico operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1093075277 assigned on May 2012. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Concentra Medical Centers. The authorized official of this NPI record is Dr. Robert Hassett Md (President)

NPI
1093075277
Provider Legal Name
OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST PA
Other Organization Name
CONCENTRA MEDICAL CENTERS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
400 MARQUETTE AVE NW CITY HALL BLDG., BASEMENT B-06 ALBUQUERQUE, NM 87102
Location Phone
(505) 768-4630
Location Fax
(505) 768-2853
Mailing Address
5080 SPECTRUM DR SUITE 1200 WEST ADDISON, TX 75001
Mailing Phone
(972) 364-8000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-22-2012
Last Update Date
08-15-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ROBERT HASSETT MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(972) 364-8000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
32D2033412
Facility Type
Physician Office
Certificate Effective Date
December 01, 2023
Certificate Expiration Date
November 30, 2025
Laboratory Director
CARLA RUDOLPH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Concentra Medical Centers to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1093075277
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201830710214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 0 + 7 + 1 + 0 + 2 + 1 + 4 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1093075277 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093075277, enumerated in the NPI registry as an "organization" on May 22, 2012

The provider is located at 400 Marquette Ave Nw City Hall Bldg., Basement B-06 Albuquerque, Nm 87102 and the phone number is (505) 768-4630

This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service

The provider's CLIA number is 32D2033412 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 22, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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