Contract Details
Occupational Health Centers of the Southwest, P.A., P.C.
Facility name
Concentra Medical Center
Provider ID
P000002804
NPI
1497880793
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
5604 West 74th Street
Indianapolis, IN 46278
United States
County
Marion
Phone
3172901551 (Phone)
Billing Details
Address
PO Box 488
Lombard, IL 60148
Billing Phone
8883782566
Specialty Type
Occupational Medicine Facility
Map
Address