CONCENTRA MEDICAL CENTER
NPI 1316199854
Clinic/Center - Health Service in Waterbury, CT

Active since October 15, 2008
8 SOUTH COMMONS ROAD, WATERBURY, CT 60704(203) 759-1229(203) 759-0219 Get Directions Write a Review

NPPES record last updated: October 15, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 07D1000480
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-16-2026

About CONCENTRA MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Concentra Medical Center, a provider established in Waterbury, Connecticut operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1316199854 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 18 years ago. The provider's is doing business as Concentra Medical Center. The authorized official of this NPI record is Keith Newton (President / Ceo)

NPI
1316199854 Verify this NPI
Provider Legal Name
CONCENTRA HEALTH SERVICES, INC.
Other Organization Name
CONCENTRA MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
8 SOUTH COMMONS ROAD WATERBURY, CT 60704
Location Phone
(203) 759-1229
Location Fax
(203) 759-0219
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
07D1000480
Facility Type
Physician Office
Certificate Effective Date
June 17, 2024
Certificate Expiration Date
June 16, 2026
Laboratory Director
VICTOR COHEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Concentra Medical Center 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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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316199854, enumerated as an "organization" on October 15, 2008.

The provider is located at 8 SOUTH COMMONS ROAD WATERBURY, CT 60704 and the phone number is (203) 759-1229.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.