Contract Details
Occupational Health Centers of the Southwest, P.A.
Facility name
Concentra Medical Center
Provider ID
P000002790
NPI
1720114713
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
14809 West 95th Street
Lenexa, KS 66215
United States
County
Johnson
Phone
9138946664 (Phone)
Billing Details
Address
PO Box 369
Lombard, IL 60148
Billing Phone
8883782566
Specialty Type
Occupational Medicine Facility
Map
Address