Contract Details
Concentra Medical Centers
Facility name
Concentra Urgent Care
Provider ID
P000005057
NPI
1669641551
Tax ID
262018322
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
99.00
Location Details
Address
646 Westinghouse Blvd
Charlotte, NC 28273
United States
County
Mecklenburg
Phone
8669446046 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Urgent Care Facility
Map
Address