Contract Details
Occupational Health Centers of the Southwest, P.A.
Facility name
Concentra Medical Center
Provider ID
P000002747
NPI
1790820900
Tax ID
752014828
Effective Date
2/1/2012
Last Updated
5/21/2017
Direct Contract
Yes
Term Date
2/2/2012
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_135
Location Details
Address
2620 East Prospect Road Suite 160
Fort Collins, CO 80525
United States
County
Larimer
Phone
9702215811 (Phone)
Billing Details
Address
PO Box 9008
Broomfield, CO 80021
Billing Phone
8008588599
Specialty Type
Occupational Medicine Facility
Map
Address