NPIMap

Confederated Tribes of the Goshute Reservation

A Medicare group practice based in Salt Lake City, UT: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0042451650), with 80 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0042451650The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
TX, UT
Enrollments
2
Group size
58 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 4 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20130724000653 TX Part B Supplier - Clinic/Group Practice 1750510277
O20140618000896 UT Part A Provider - Federally Qualified Health Center (FQHC) 1750510277

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 80

Clinicians who reassign their Medicare benefits to this group (80) or whom Care Compare lists as members (58).

Sources for this page