Workers' Compensation & Clinics

TENNESSEE DEPARTMENT OF
LABOR AND WORKFORCE DEVELOPMENT

DIVISION OF WORKERS' COMPENSATION

220 French Landing Dr.
Nashville, Tennessee 37243-1002

AGREEMENT BETWEEN EMPLOYER/EMPLOYEE
CHOICE OF PHYSICIAN

It is a crime to knowingly provide false, incomplete or misleading information to any party to a workers' compensation transaction for the purpose of committing fraud. Penalties include imprisonment, fines, and denial of insurance benefits.

In compliance with the Tennessee Workers' Compensation Law, T.C.A. Section 50-6-204

Concentra Medical Center

4300 Sidco Drive
Nashville, TN 37204

(615) 837-4360

The Physicians Urgent Care

155 Covey Dr #100
Franklin, TN 37067

(615) 472-1550

Concentra Medical Center

315 14th Ave N
Nashville, TN 37203

(615) 321-5698

Worker's Compensation Insurance
Policy Information
Provider:
Accident Fund
Policy#:
100099105
Effective date:
10/16/2023
Expiration date:
10/16/2024
Claim Info#:
866-206-5851
Fax#:
517-316-2747
Email:
DocumentImaging2@accidentfund.com
Mailing Address:
P.O. Box 40790
Lansing, MI 48901-7990
Employer Information
School Facility Management LLC
Service FM LLC
Serva LLC
Address:
3017 Oakland Ave
Nashville, TN 37212
Office#:
(615) 321-2037
Email:
employment@sfmservice.com
www.sfmservice.com/workers-compensation.html