Contract Details
Concentra Medical Centers
Facility name
Concentra Medical Center
Provider ID
P000003690
NPI
1043342751
Tax ID
262484838
Effective Date
4/1/2012
Last Updated
5/21/2017
Direct Contract
Yes
Term Date
4/2/2012
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
99.00
Location Details
Address
2835 Jeff Adams Drive Suite A
Charlotte, NC 28206
United States
County
Mecklenburg
Phone
7043429011 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Urgent Care Facility
Map
Address