NPIMap

San Carlos Apache Healthcare Corporation

A Medicare group practice based in Bylas, AZ: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 0648580597), with 446 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0648580597The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Indian Health Service Or Tribal Facility, Part A Provider - Critical Access Hospital, Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
AZ, TX
Enrollments
4
Group size
147 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 2 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20151105002091 TX Part B Supplier - Clinic/Group Practice 1265813075
O20161115002165 TX Part B Supplier - Pharmacy 1861875536
O20210211002524 AZ Part A Provider - Critical Access Hospital 1265813075
O20200203000667 AZ DME Supplier - Indian Health Service Or Tribal Facility 1710475124

NPIs in this group 4

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 446

Page 1 of 5

Clinicians who reassign their Medicare benefits to this group (445) or whom Care Compare lists as members (147).

Sources for this page