NPIMap

Tri-County Community Action Agency

A Medicare group practice based in North Providence, RI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0648171181), with 29 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0648171181The 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
RI
Enrollments
3
Group size
20 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040116000778 RI Part B Supplier - Clinic/Group Practice 1396780086
O20120201000964 RI Part A Provider - Federally Qualified Health Center (FQHC) 1396780086
O20140403000221 RI Part A Provider - Federally Qualified Health Center (FQHC) 1912328600

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 29

Clinicians who reassign their Medicare benefits to this group (29) or whom Care Compare lists as members (20).

Sources for this page