NPIMap

Park Duvalle Community Health Center, Inc

A Medicare group practice based in Louisville, KY: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 1658268974), with 35 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1658268974The 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 - Mass Immunization (Roster Biller Only)
Enrolled in
KY
Enrollments
9
Group size
22 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
15In 3 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20040302000539 KY Part B Supplier - Clinic/Group Practice 1255354361
O20040323000421 KY Part A Provider - Federally Qualified Health Center (FQHC) 1245253160
O20141204001974 KY Part B Supplier - Mass Immunization (Roster Biller Only) 1518184613
O20250128002087 KY Part A Provider - Federally Qualified Health Center (FQHC) 1811545403
O20250124002202 KY Part A Provider - Federally Qualified Health Center (FQHC) 1639727951
O20101021001040 KY Part A Provider - Federally Qualified Health Center (FQHC) 1942214663
O20100719000033 KY Part A Provider - Federally Qualified Health Center (FQHC) 1780698506
O20100719000039 KY Part A Provider - Federally Qualified Health Center (FQHC) 1255354361
O20200310000057 KY Part A Provider - Federally Qualified Health Center (FQHC) 1851957252

NPIs in this group 9

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 35

Clinicians who reassign their Medicare benefits to this group (32) or whom Care Compare lists as members (22).

Sources for this page