Contract Details
Occupational Health Centers of the Southwest, P.A., Co.
Facility name
Concentra Medical Center
Provider ID
P000002923
NPI
1780900407
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
290 Branch Avenue
Providence, RI 02904
United States
County
Providence
Phone
4017228880 (Phone)
Billing Details
Address
PO Box 20127
Cranston, RI 02920
Billing Phone
8002859795
Specialty Type
Occupational Medicine Facility
Map
Address