Saint Alphonsus Medical Center- Ontario Inc

A Medicare group practice based in Ontario, OR: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 1456488899), with 153 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1456488899The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
ID, OR
Enrollments
4
Group size
42 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
25In 6 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20100602000986 OR Part A Provider - Hospital 1891891792
O20100713000593 OR Part B Supplier - Clinic/Group Practice 1093034159
O20120229000024 ID Part B Supplier - Clinic/Group Practice 1093034159
O20140610001779 ID Part A Provider - Rural Health Clinic 1760823397

NPIs in this group 6

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 153

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (152) or whom Care Compare lists as members (42).

Sources for this page