Contract Details
Occupational Health Centers of the Southwest, P.C.
Facility name
Concentra Medical Center
Provider ID
P000002851
NPI
1558492959
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
1308 North Glenstone Avenue
Springfield, MO 65802
United States
County
Greene
Phone
4178644100 (Phone)
Billing Details
Address
PO Box 369
Lombard, IL 60148
Billing Phone
8883782566
Specialty Type
Occupational Medicine Facility
Map
Address