Banyan Community Health Center, Inc

A Medicare group practice based in Coral Gables, FL: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 0547410011), with 41 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0547410011The 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
FL
Enrollments
6
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
9In 3 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20141229000246 FL Part A Provider - Federally Qualified Health Center (FQHC) 1710394499
O20150409000047 FL Part A Provider - Federally Qualified Health Center (FQHC) 1922349737
O20150409000694 FL Part A Provider - Federally Qualified Health Center (FQHC) 1104247188
O20121017000910 FL Part B Supplier - Clinic/Group Practice 1104247188
O20190806000167 FL Part A Provider - Federally Qualified Health Center (FQHC) 1205219003
O20230713000840 FL Part A Provider - Federally Qualified Health Center (FQHC) 1972979631

NPIs in this group 5

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 41

Clinicians who reassign their Medicare benefits to this group (41) or whom Care Compare lists as members (4).

Sources for this page