Bandon Community Health Center

A Medicare group practice based in Port Orford, OR: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 1557416757), with 22 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1557416757The 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
OR
Enrollments
3
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20100430000431 OR Part B Supplier - Clinic/Group Practice 1033348289
O20140423001435 OR Part A Provider - Federally Qualified Health Center (FQHC) 1033348289
O20220805002034 OR Part A Provider - Federally Qualified Health Center (FQHC) 1013587484

NPIs in this group 3

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