Contract Details
Occupational Health Centers of the Southwest, P.A.
Facility name
Concentra Medical Center
Provider ID
P000002702
NPI
1801119029
Tax ID
860750222
Effective Date
2/1/2012
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_135
Location Details
Address
1110 East Route 66 Suite 100
Flagstaff, AZ 86001
United States
County
Coconino
Phone
9287739695 (Phone)
Billing Details
Address
1818 East Sky Harbor Circle North
Building 2, Suite 150
Phoenix, AZ 85034
Billing Phone
8002548677
Specialty Type
Occupational Medicine Facility
Map
Address