Contract Details
Occupational Health Centers of the Southwest, P.C.
Facility name
Concentra Medical Center
Provider ID
P000006880
NPI
1689704736
Tax ID
752014828
Effective Date
2/1/2012
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_135
Location Details
Address
463 Lynn Haven Lane
Hazelwood, MO 63042
United States
County
Saint Louis
Phone
3147310448 (Phone)
Billing Details
Address
P.O. Box 369
Lombard, IL 60148
Billing Phone
8883782566
Specialty Type
Occupational Medicine Facility
Map
Address