Contract Details
Occupational Health Centers of the Southwest, P.A.
Facility name
Concentra Medical Center
Provider ID
P000003015
NPI
1376833442
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
7 Fayette Street
South Burlington, VT 05403
United States
County
Chittenden
Phone
8026585756 (Phone)
Billing Details
Address
PO Box 20127
Cranston, RI 02920
Billing Phone
Specialty Type
Occupational Medicine Facility
Map
Address