NPIMap

Southwest District Health

A Medicare group practice based in Payette, ID: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0143465666), with 12 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0143465666The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
MDPP Supplier - in-Person MDPP Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
ID
Enrollments
2
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 5 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20130403000376 ID Part B Supplier - Clinic/Group Practice 1598748337
O20190508001819 ID MDPP Supplier - in-Person MDPP Supplier 1598748337

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 12

Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (3).

Sources for this page