Contract Details
Occupational Health Centers of the Southwest, P.A., Inc.
Facility name
Concentra Medical Center
Provider ID
P000002772
NPI
1497928568
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
3540 East 46th Street
Davenport, IA 52807
United States
County
Scott
Phone
5633591170 (Phone)
Billing Details
Address
PO Box 75427
Oklahoma City, OK 73147
Billing Phone
8889428455
Specialty Type
Occupational Medicine Facility
Map
Address