Contract Details
Occupational Health Centers of the Southwest, P.A.
Facility name
Concentra Medical Center
Provider ID
P000002926
NPI
1528191632
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
8780 Rivers Avenue Building B, Suite 200
North Charleston, SC 29406
United States
County
Charleston
Phone
8435720810 (Phone)
Billing Details
Address
PO Box 82730
Hapeville, GA 30354
Billing Phone
8006860468
Specialty Type
Occupational Medicine Facility
Map
Address