Contract Details
Occupational Health Centers of Michigan, P.C.
Facility name
Concentra Medical Center
Provider ID
P000002812
NPI
1255364097
Tax ID
382857561
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
2151 East Jefferson Avenue
Detroit, MI 48207
United States
County
Wayne
Phone
3132597990 (Phone)
Billing Details
Address
PO Box 5106
Southfield, MI 48086
Billing Phone
Specialty Type
Occupational Medicine Facility
Map
Address