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
Contract Discounts
Discount Type
M
Exhibit ID
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
Specialty Type
Occupational Medicine Facility
Map
Address