NPIMap

Lower Elwha Klallam Tribe

A Medicare group practice based in Port Angeles, WA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0446240964), with 5 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0446240964The 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
WA
Enrollments
2
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040517000588 WA Part B Supplier - Clinic/Group Practice 1821114026
O20091007000196 WA Part A Provider - Federally Qualified Health Center (FQHC) 1841316023

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 5

Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (4).

Sources for this page