Contract Details
Occupational Health Centers of the Southwest, P.C.
Facility name
Concentra Medical Center
Provider ID
P000002863
NPI
1144350323
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
128 Matrix Commons Drive
Fenton, MO 63026
United States
County
Saint Louis
Phone
6363496850 (Phone)
Billing Details
Address
PO Box 369
Lombard, IL 60148
Billing Phone
8883782566
Specialty Type
Occupational Medicine Facility
Map
Address