Contract Details
Occupational Health Centers of California, A Medical Corporation
Facility name
Concentra Medical Center
Provider ID
P000002727
NPI
1538203831
Tax ID
770469725
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
6174 State Farm Drive
Rohnert Park, CA 94928
United States
County
Sonoma
Phone
7075864320 (Phone)
Billing Details
Address
PO Box 3700
Rancho Cucamonga, CA 91729
Billing Phone
8883526794
Specialty Type
Occupational Medicine Facility
Map
Address