Contract Details
Occupational Health Centers of the Southwest, P.A., P.C.
Facility name
Concentra Medical Center
Provider ID
P000002913
NPI
1720107691
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
113 Butler Avenue
Lancaster, PA 17601
United States
County
Lancaster
Phone
7173913087 (Phone)
Billing Details
Address
PO Box 8750
Elkridge, MD 21075
Billing Phone
Specialty Type
Occupational Medicine Facility
Map
Address