Contract Details
Occupational Health Centers of the Southwest, P.A., P.C.
Facility name
Concentra Medical Center
Provider ID
P000002976
NPI
1184744732
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
9211 Burge Avenue
Richmond, VA 23237
United States
County
Chesterfield
Phone
8042757200 (Phone)
Billing Details
Address
PO Box 18277
Baltimore, MD 21227
Billing Phone
8888092214
Specialty Type
Occupational Medicine Facility
Map
Address