Rogue Community Health

A Medicare group practice based in Medford, OR: 16 NPIs enrolled under one PECOS associate control ID (PAC ID 1557266236), with 47 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1557266236The 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, Part B Supplier - Pharmacy
Enrolled in
OR
Enrollments
13
Group size
31 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
14In 5 places

Enrollment records 13

Enrollment IDStateProvider typeNPI
O20031220000023 OR Part A Provider - Federally Qualified Health Center (FQHC) 1770645871
O20031220000028 OR Part A Provider - Federally Qualified Health Center (FQHC) 1205998309
O20031220000016 OR Part A Provider - Federally Qualified Health Center (FQHC) 1073511721
O20040226000885 OR Part B Supplier - Clinic/Group Practice 1073511721
O20190123000600 OR Part B Supplier - Pharmacy 1871946376
O20210128002001 OR Part A Provider - Federally Qualified Health Center (FQHC) 1275132466
O20210812000877 OR Part A Provider - Federally Qualified Health Center (FQHC) 1790059731
O20221019001448 OR Part A Provider - Federally Qualified Health Center (FQHC) 1225773013
O20111207000748 OR Part A Provider - Federally Qualified Health Center (FQHC) 1093099616
O20170410002538 OR Part A Provider - Federally Qualified Health Center (FQHC) 1912450461
O20170410001630 OR Part A Provider - Federally Qualified Health Center (FQHC) 1093266983
O20170417000399 OR Part A Provider - Federally Qualified Health Center (FQHC) 1740733286
O20121129000554 OR Part A Provider - Federally Qualified Health Center (FQHC) 1790059731

NPIs in this group 16

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 (31).

Sources for this page