CONCENTRA HEALTH SERVICES, INC. NPI 1144479189

Clinic/Center (Health Service) in Charleston, SC

NPI 1144479189 Organization Clinic/Center Health Service CLIA Number 42D0999722 CLIA Certificate of Waiver

NPI Profile for CONCENTRA HEALTH SERVICES, INC.

Concentra Health Services, Inc. is a provider established in Charleston, South Carolina specializing in clinic/center (health service) . The NPI number of Concentra Health Services, Inc. is 1144479189 and was assigned on September 2008. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Keith Newton (President / Ceo)

The CLIA number of Concentra Health Services, Inc. is 42D0999722 registered as a "physician office" facility with a CLIA Certificate of Waiver. 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.

NPI

1144479189

Provider NameCONCENTRA HEALTH SERVICES, INC.
Provider Location Address4115 DORCHESTER ROAD SUITE 100 CHARLESTON, SC 29405
Provider Mailing Address5080 SPECTRUM DRIVE SUITE 1200 WEST TOWER ADDISON, TX 75001
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-15-2008
Last Update Date09-30-2008


Primary Taxonomy

Taxonomy Code261QH0100X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationHealth Service

Business Address

CONCENTRA HEALTH SERVICES, INC.
4115 DORCHESTER ROAD
SUITE 100
CHARLESTON, SC
ZIP 29405
Phone: (843) 554-6734
Fax: (843) 554-3356

Get Directions


Mailing Address

CONCENTRA HEALTH SERVICES, INC.
5080 SPECTRUM DRIVE
SUITE 1200 WEST TOWER
ADDISON, TX
ZIP 75001
Phone: (800) 232-3550



Authorized Official

Authorized Official Name KEITH NEWTON
Authorized Official TitlePRESIDENT / 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 the NPI number 1144479189 is:

CLIA Number42D0999722
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1144479189
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21848718116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 8 + 7 + 1 + 8 + 1 + 1 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1144479189 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003000159 MARSHA SUSAN VOGES FNP
Individual
Nurse Practitioner (Family)4115 DORCHESTER ROAD CONCENTRA MEDICAL CENTER
CHARLESTON, SC 29405
(843) 554-6737
1619000726THERAPY CENTERS OF SOUTH CAROLINA, P.A.
Organization
Clinic/Center (Health Service)4115 DORCHESTER ROAD SUITE 100
CHARLESTON, SC 29405
(843) 554-6737
1225215429AMERICAN CURRENT CARE PA
Organization
Clinic/Center4115 DORCHESTER ROAD
CHARLESTON, SC 29405
(843) 554-6737

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Concentra Health Services, Inc. is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.