Contract Details
Occupational Health Centers of the Southwest, P.A., Inc.
Facility name
Concentra Medical Center
Provider ID
P000002787
NPI
1083740021
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
2100 Dixon Street Suite E
Des Moines, IA 50316
United States
County
Polk
Phone
5152651020 (Phone)
Billing Details
Address
PO Box 75427
Oklahoma City, OK 73147
Billing Phone
Specialty Type
Occupational Medicine Facility
Map
Address