CONCENTRA HEALTH SERVICES, INC.
NPI 1366694804
Clinic/Center - Health Service in Bangor, ME

NPI Status: Active since October 15, 2008

Contact Information

34 GILMAN RD.
BANGOR, ME
ZIP 04401
Phone: (207) 941-8300
Fax: (207) 947-3134

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  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 20D1044193
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-20-2025

About CONCENTRA HEALTH SERVICES, INC.

This page provides the complete NPI Profile along with additional information for Concentra Health Services, Inc., a provider established in Bangor, Maine operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1366694804 assigned on October 2008. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Keith Newton (President / Ceo)

NPI
1366694804
Provider Name
CONCENTRA HEALTH SERVICES, INC.
Entity Type
Organization
Location Address
34 GILMAN RD. BANGOR, ME 04401
Location Phone
(207) 941-8300
Location Fax
(207) 947-3134
Mailing Address
5080 SPECTRUM DRIVE SUITE 1200 WEST TOWER ADDISON, TX 75001
Mailing Phone
(800) 232-3550
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-15-2008
Last Update Date
10-15-2008
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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

KEITH NEWTON

Authorized Official Title
PRESIDENT / CEO
Authorized Official Phone
(972) 364-8106

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
20D1044193
Facility Type
Physician Office
Certificate Effective Date
October 21, 2023
Certificate Expiration Date
October 20, 2025
Laboratory Director
JANE SULLIVAN-DURAND
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Concentra Health Services, Inc. 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.
1366694804
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23126129880
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 2 + 9 + 8 + 8 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1366694804 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215064720OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST, P.A.
Organization
Clinic/Center (Health Service)34 GILMAN RD.
BANGOR, ME 04401
(207) 941-8300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366694804, enumerated in the NPI registry as an "organization" on October 15, 2008

The provider is located at 34 Gilman Rd. Bangor, Me 04401 and the phone number is (207) 941-8300

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

The provider's CLIA number is 20D1044193 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 October 15, 2008. 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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