Contract Details
Occupational Health Centers of the Southwest, P.A.
Facility name
Concentra Medical Center
Provider ID
P000002893
NPI
1710011358
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
255 Glendale Avenue Suite 12
Sparks, NV 89431
United States
County
Washoe
Phone
7753568181 (Phone)
Billing Details
Address
PO Box 9010
Broomfield, CO 80021
Billing Phone
8008588599
Specialty Type
Occupational Medicine Facility
Map
Address