NPIMap

County of St Louis Division of Fiscal Management

A Medicare group practice based in Saint Louis, MO: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 0941285720), with 47 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0941285720The 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
MO
Enrollments
4
Group size
15 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040628000772 MO Part B Supplier - Clinic/Group Practice 1780639088
O20251208002482 MO Part A Provider - Federally Qualified Health Center (FQHC) 1740175066
O20260108000312 MO Part A Provider - Federally Qualified Health Center (FQHC) 1184519506
O20251006000410 MO Part A Provider - Federally Qualified Health Center (FQHC) 1053206375

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 47

Clinicians who reassign their Medicare benefits to this group (47) or whom Care Compare lists as members (15).

Sources for this page