Contract Details
Occupational Health Centers of the Southwest, P.A.
Facility name
Concentra Medical Center
Provider ID
P000002972
NPI
1013037704
Tax ID
860750222
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
1735 South Redwood Road Suite 115
Salt Lake City, UT 84104
United States
County
Salt Lake
Phone
8019734434 (Phone)
Billing Details
Address
P.O. Box 9008
Broomfield, CO 80021
Billing Phone
8008588599
Specialty Type
Occupational Medicine Facility
Map
Address