Mendota Community Hospital

A Medicare group practice based in Mendota, IL: 11 NPIs enrolled under one PECOS associate control ID (PAC ID 2264335777), with 106 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2264335777The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
IL
Enrollments
9
Group size
51 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
19In 6 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20040131000102 IL Part B Supplier - Clinic/Group Practice 1407872997
O20080123000489 IL Part A Provider - Critical Access Hospital 1609803113
O20080124000259 IL Part A Provider - Critical Access Hospital 1922024843
O20240801003133 IL Part A Provider - Rural Health Clinic 1750139267
O20240801003481 IL Part A Provider - Rural Health Clinic 1952159469
O20240801003724 IL Part A Provider - Rural Health Clinic 1376391888
O20240801003877 IL Part A Provider - Rural Health Clinic 1225877590
O20240717004144 IL Part A Provider - Rural Health Clinic 1447029301
O20140619002050 IL Part A Provider - Rural Health Clinic 1316320849

NPIs in this group 11

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 106

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (106) or whom Care Compare lists as members (51).

Sources for this page