CONCENTRA MEDICAL CENTER
NPI 1477597896
Clinic/Center - Health Service in Phoenix, AZ

NPI Status: Active since June 15, 2006

Contact Information

901 EAST JEFFERSON STREET
PHOENIX, AZ
ZIP 85034
Phone: (602) 256-2281
Fax: (602) 256-6199

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  • Organization
  • Clinic/Center
  • Health Service

About CONCENTRA MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Concentra Medical Center, a provider established in Phoenix, Arizona operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1477597896 assigned on June 2006. The practitioner's primary taxonomy code is 261QH0100X with license number OTC-679 (AZ). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Concentra Medical Center. The authorized official of this NPI record is Dr. William Tom Fogarty M.d. (Senior Vp / Chief Medical Officer)

NPI
1477597896
Provider Legal Name
OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST PA
Other Organization Name
CONCENTRA MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
901 EAST JEFFERSON STREET PHOENIX, AZ 85034
Location Phone
(602) 256-2281
Location Fax
(602) 256-6199
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
06-15-2006
Last Update Date
07-21-2010
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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
License No.
OTC-679
License State
AZ

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QP2000XAmbulatory Health Care Facilities

Clinic/Center
Physical Therapy

OTC 679 (AZ)
2261QX0100XAmbulatory Health Care Facilities

Clinic/Center
Occupational Medicine

OTC-679 (AZ)

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. WILLIAM TOM FOGARTY M.D.

Authorized Official Title
SENIOR VP / CHIEF MEDICAL OFFICER
Authorized Official Phone
(972) 364-8103

Reviews for CONCENTRA MEDICAL CENTER

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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.
1477597896
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2414710914818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 1 + 0 + 9 + 1 + 4 + 8 + 1 + 8 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1477597896 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366691347CONCENTRA HEALTH SERVICES, INC.
Organization
Clinic/Center (Health Service)901 EAST JEFFERSON STREET
PHOENIX, AZ 85034
(602) 261-7888
1376731851AMERICAN CURRENT CARE OF ARIZONA PA
Organization
Clinic/Center (Urgent Care)901 EAST JEFFERSON STREET
PHOENIX, AZ 85034
(602) 261-7888

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477597896, enumerated in the NPI registry as an "organization" on June 15, 2006

The provider is located at 901 East Jefferson Street Phoenix, Az 85034 and the phone number is (602) 256-2281

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

This NPI record was last updated on June 15, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.