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Contract Details
Occupational Health Centers of the Southwest, P.A.
Facility name
Concentra Medical Center
Provider ID
P000003002
NPI
1568540805
Tax ID
752014828
Effective Date
2/1/2012
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_135
AM_135
Location Details
Address
2831 Airways Boulevard Building A, Suite 102
Memphis, TN 38132
United States
County
Shelby
Phone
9013480200
(
Phone
)
Billing Details
Address
PO Box 18735
Memphis, TN 38181
Billing Phone
8772240977
Specialty Type
Occupational Medicine Facility
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