Sedgwick County Memorial Hospital

A Medicare group practice based in Julesburg, CO: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 1052201100), with 16 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1052201100The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
CO, NE
Enrollments
6
Group size
15 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 3 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20100415000544 CO Part A Provider - Rural Health Clinic 1881602738
O20100518000734 NE Part A Provider - Rural Health Clinic 1790790566
O20090709000736 CO Part A Provider - Critical Access Hospital 1912915943
O20090708000398 CO Part A Provider - Critical Access Hospital 1740295591
O20040326000232 CO Part B Supplier - Clinic/Group Practice 1881602738
O20050421001541 NE Part B Supplier - Clinic/Group Practice 1346013612

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 16

Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (15).

Sources for this page