Contract Details
Occupational Health Centers of the Southwest, P.A., P.C.
Facility name
Concentra Medical Center
Provider ID
P000006865
NPI
1043566060
Tax ID
752014828
Effective Date
9/4/2012
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_135
Location Details
Address
3174 Custer Drive Suite 100
Lexington, KY 40517
United States
County
Fayette
Phone
8592724882 (Phone)
Billing Details
Address
6133 Rockside Road
Suite 202
Independence, OH 44131
Billing Phone
8884760460
Specialty Type
Occupational Medicine Facility
Map
Address