Contract Details
Occupational Health Centers of the Southwest, P.A.
Facility name
Concentra Medical Center
Provider ID
P000006879
NPI
1104196732
Tax ID
752014828
Effective Date
2/1/2012
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_135
Location Details
Address
13475 Atlantic Boulevard Unit 7
Jacksonville, FL 32225
United States
County
Duval
Phone
9042211285 (Phone)
Billing Details
Address
P.O. Box 82549
Hapeville, GA 30354
Billing Phone
8006860468
Specialty Type
Physical Therapy
Map
Address