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Contract Details
Occupational Health Centers of the Southwest, P.C.
Facility name
Concentra Medical Center
Provider ID
P000002852
NPI
1073644415
Tax ID
752014828
Effective Date
2/1/2012
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_135
AM_135
Location Details
Address
1551 Wall Street Suite 100
Saint Charles, MO 63303
United States
County
Saint Charles
Phone
6369471666
(
Phone
)
Billing Details
Address
PO Box 369
Lombard, IL 60148
Billing Phone
8883782566
Specialty Type
Occupational Medicine Facility
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