Portsmouth Community Health Center Inc

A Medicare group practice based in Norfolk, VA: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 1052301835), with 22 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1052301835The 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
VA
Enrollments
7
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 2 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20040513001366 VA Part B Supplier - Clinic/Group Practice 1134199193
O20050729000085 VA Part A Provider - Federally Qualified Health Center (FQHC) 1134199193
O20100625000483 VA Part A Provider - Federally Qualified Health Center (FQHC) 1073833760
O20121107000426 VA Part A Provider - Federally Qualified Health Center (FQHC) 1235484544
O20121203000476 VA Part A Provider - Federally Qualified Health Center (FQHC) 1871848184
O20150922000646 VA Part A Provider - Federally Qualified Health Center (FQHC) 1144604877
O20161116002327 VA Part B Supplier - Clinic/Group Practice 1144604877

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 22

Clinicians who reassign their Medicare benefits to this group (22) or whom Care Compare lists as members (5).

Sources for this page