Contract Details
Ancillary Care Services
Facility name
Concentra Medical Center
Provider ID
P000003021
NPI
1124398219
Tax ID
202883662
Effective Date
4/1/2012
Last Updated
5/21/2017
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
99.00
Location Details
Address
7519 Rivers Avenue
North Charleston, SC 29406
United States
County
Charleston
Phone
8889972669 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Urgent Care Facility
Map
Address