Contract Details
Occupational Health Centers of the Southwest, P.A.
Facility name
Concentra Medical Center
Provider ID
P000002761
NPI
1437345014
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
7764 Normandy Boulevard Suite 24
Jacksonville, FL 32221
United States
County
Duval
Phone
9044821400 (Phone)
Billing Details
Address
PO Box 82549
Hapeville, GA 30354
Billing Phone
8006860468
Specialty Type
Occupational Medicine Facility
Map
Address