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Contract Details
Occupational Health Centers of Louisiana, A Professional Corporation
Facility name
Concentra Medical Center
Provider ID
P000002815
NPI
1205963774
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
AM_135
Location Details
Address
318 Barrone Street
New Orleans, LA 70112
United States
County
Orleans
Phone
5045611051
(
Phone
)
Billing Details
Address
PO Box 75430
Oklahoma City, OK 73147
Billing Phone
4059428454
Specialty Type
Occupational Medicine Facility
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