Contract Details
Occupational Health Centers of the Southwest, P.A.
Facility name
Concentra Medical Center
Provider ID
P000002985
NPI
1366520504
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
1147 Warwick Way
Racine, WI 53406
United States
County
Racine
Phone
2628863997 (Phone)
Billing Details
Address
PO Box 1297
Brookfield, WI 53008
Billing Phone
8886226331
Specialty Type
Occupational Medicine Facility
Map
Address