NPIMap

Mattapan Community Health Center, Inc.

A Medicare group practice based in Mattapan, MA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2062423866), with 35 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2062423866The 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
MA
Enrollments
2
Group size
25 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
2In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20130313000000 MA Part A Provider - Federally Qualified Health Center (FQHC) 1639240393
O20190617001304 MA Part B Supplier - Clinic/Group Practice 1942869342

NPIs in this group 2

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 (35) or whom Care Compare lists as members (25).

Sources for this page