CONCENTRA MEDICAL CENTER
NPI 1215069331
Clinic/Center - Health Service in Tucson, AZ
NPI Status: Active since March 12, 2007
Contact Information
3402 E. BROADWAY BLVD.
TUCSON, AZ
ZIP 85716
Phone: (520) 881-0050
Fax: (520) 795-8815
- Organization
- Clinic/Center
- Health Service
- CLIA Number: 03D0880419
- CLIA Cert. Type: Other
- CLIA Exp. Date: 12-09-2027
About CONCENTRA MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Concentra Medical Center, a provider established in Tucson, Arizona operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1215069331 assigned on March 2007. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 16 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
- 1215069331
- 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
- 3402 E. BROADWAY BLVD. TUCSON, AZ 85716
- Location Phone
- (520) 881-0050
- Location Fax
- (520) 795-8815
- 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
- 03-12-2007
- Last Update Date
- 07-21-2010
- Code Navigator
Location Map
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
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) |
|---|---|---|---|---|
| 1 | 261QP2000X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QX0100X | Ambulatory Health Care Facilities | Clinic/Center |
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
- 03D0880419
- Facility Type
- Other
- Certificate Effective Date
- December 10, 2025
- Certificate Expiration Date
- December 09, 2027
- Laboratory Director
- JOSEPH A. ALVARADO
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Concentra Medical Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1215069331, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
TUCSON, AZ 85716
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215069331, enumerated as an "organization" on March 12, 2007.
The provider is located at 3402 E. BROADWAY BLVD. TUCSON, AZ 85716 and the phone number is (520) 881-0050.
Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.
