Contract Details
Concentra Medical Centers
Facility name
Concentra Medical Center
Provider ID
P000004984
NPI
1639201387
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
646 Westinghouse Boulevard
Charlotte, NC 28273
United States
County
Mecklenburg
Phone
7045880885 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Urgent Care Facility
Map
Address