Contract Details
Occupational Health Centers of Louisiana, A Professional Corporation
Facility name
Concentra Medical Center
Provider ID
P000002789
NPI
1871620328
Tax ID
742891603
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
4015 Jefferson Highway
Jefferson, LA 70121
United States
County
Jefferson
Phone
5048376447 (Phone)
Billing Details
Address
PO Box 75430
Oklahoma City, OK 73147
Billing Phone
4059428454
Specialty Type
Occupational Medicine Facility
Map
Address