Contract Details
Occupational Health Centers of the Southwest, P.A., P.C.
Facility name
Concentra Medical Center
Provider ID
P000002737
NPI
1073648010
Tax ID
752014828
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
333 Kennedy Drive Suite 202
Torrington, CT 06790
United States
County
Litchfield
Phone
8604824552 (Phone)
Billing Details
Address
PO Box 8960
Elkridge, MD 21075
Billing Phone
8888093214
Specialty Type
Occupational Medicine Facility
Map
Address