Contract Details
Occupational Health Centers of the Southwest, P.A.
Facility name
Concentra Medical Center
Provider ID
P000002888
NPI
1912031808
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
149 North Gibson Road Suite H
Henderson, NV 89014
United States
County
Clark
Phone
7025586275 (Phone)
Billing Details
Address
PO Box 9010
Broomfield, CO 80021
Billing Phone
Specialty Type
Occupational Medicine Facility
Map
Address