Contract Details
Occupational Health Centers of the Southwest, P.A.
Facility name
Concentra Medical Center
Provider ID
P000002826
NPI
1053320457
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
811 Cromwell Park Drive Suites 104-105
Glen Burnie, MD 21061
United States
County
Anne Arundel
Phone
4105530110 (Phone)
Billing Details
Address
PO Box 18277
Baltimore, MD 21227
Billing Phone
8888093214
Specialty Type
Occupational Medicine Facility
Map
Address