CONCENTRA MEDICAL CENTER
NPI 1649289042
Clinic/Center - Health Service in Baltimore, MD

NPI Status: Active since August 05, 2006

Contact Information

110 SAINT PAUL ST
SUITE 100
BALTIMORE, MD
ZIP 21202
Phone: (410) 752-3010
Fax: (410) 539-7023

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  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 21D0897536
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-07-2027

About CONCENTRA MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Concentra Medical Center, a provider established in Baltimore, Maryland operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1649289042 assigned on August 2006. 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 Dr. Tom Fogarty M.d. (Senior Vp / Chief Medical Officer)

NPI
1649289042
Provider Legal Name
OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST, P.A.
Other Organization Name
CONCENTRA MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
110 SAINT PAUL ST SUITE 100 BALTIMORE, MD 21202
Location Phone
(410) 752-3010
Location Fax
(410) 539-7023
Mailing Address
5080 SPECTRUM DR SUITE 1200 WEST ADDISON, TX 75001
Mailing Phone
(800) 232-3550
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-05-2006
Last Update Date
05-21-2008
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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

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

 
2261QX0100XAmbulatory Health Care Facilities

Clinic/Center
Occupational Medicine

 

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. TOM FOGARTY M.D.

Authorized Official Title
SENIOR VP / CHIEF MEDICAL OFFICER
Authorized Official Phone
(800) 232-3550

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
21D0897536
Facility Type
Physician Office
Certificate Effective Date
February 08, 2025
Certificate Expiration Date
February 07, 2027
Laboratory Director
DR. SEAN P. PUFFY
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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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 1649289042, we treat the final digit (2) 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 78. The final step is to find the difference between that total and the next multiple of ten (80 - 78 = 2).

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.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
4
Doubled → 8
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
2
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 4 → 8 2 → 4 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 8 + 9 + 4 + 8 + 1 + 8 + 0 + 8 + 24 = 78

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 78 is 80. The difference is the calculated check digit.

80 - 78 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1649289042.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Preventive Medicine (Occupational Medicine)
110 SAINT PAUL ST, SUITE 100
BALTIMORE, MD 21202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649289042, enumerated as an "organization" on August 05, 2006.

The provider is located at 110 SAINT PAUL ST SUITE 100 BALTIMORE, MD 21202 and the phone number is (410) 752-3010.

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