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Contract Details
Occupational Health Centers of the Southwest, P.A.
Facility name
Concentra Medical Center
Provider ID
P000002709
NPI
1447268115
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
AM_135
Location Details
Address
3532 West Thomas Road Suite 5
Phoenix, AZ 85019
United States
County
Maricopa
Phone
6022727662
(
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
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