NPIMap

Memorial Hospital of Converse County

A Medicare group practice based in Douglas, WY: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 2264340843), with 187 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2264340843The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Hospital, Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Diagnostic Testing Facility (Idtf)
Enrolled in
CA, CO, FL, GA, HI, ID, KS, MA, MI, NV, OH, OR, PA, SC, TX, UT, VA, WA, WI, WY
Enrollments
27
Group size
77 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
79In 52 places

Enrollment records 27

Enrollment IDStateProvider typeNPI
O20200423002857 WY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1356496491
O20201111001825 WY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1356496491
O20250218001221 SC Part B Supplier - Clinic/Group Practice 1356496491
O20250207001302 CO Part B Supplier - Clinic/Group Practice 1356496491
O20250210002252 GA Part B Supplier - Clinic/Group Practice 1356496491
O20250123001860 HI Part B Supplier - Clinic/Group Practice 1356496491
O20250123001452 CA Part B Supplier - Clinic/Group Practice 1356496491
O20241227001483 WA Part B Supplier - Clinic/Group Practice 1356496491
O20241227001339 MA Part B Supplier - Clinic/Group Practice 1356496491
O20250106000639 MI Part B Supplier - Clinic/Group Practice 1356496491
O20250102001822 OH Part B Supplier - Clinic/Group Practice 1356496491
O20241226002640 WI Part B Supplier - Clinic/Group Practice 1356496491
O20241227001578 ID Part B Supplier - Clinic/Group Practice 1356496491
O20241227001676 NV Part B Supplier - Clinic/Group Practice 1356496491
O20241231000184 UT Part B Supplier - Clinic/Group Practice 1356496491
O20241231000057 OR Part B Supplier - Clinic/Group Practice 1356496491
O20100930094911 WY DME Supplier - Hospital 1326085408
O20100219000137 FL Part B Supplier - Clinic/Group Practice 1356496491
O20100206000094 KS Part B Supplier - Clinic/Group Practice 1356496491
O20100208000322 PA Part B Supplier - Clinic/Group Practice 1356496491
O20100607000600 TX Part B Supplier - Clinic/Group Practice 1356496491
O20100616000145 VA Part B Supplier - Clinic/Group Practice 1356496491
O20070727000722 WY Part A Provider - Rural Health Clinic 1679582357
O20070815000252 WY Part A Provider - Critical Access Hospital 1326085408
O20070827000333 WY Part A Provider - Critical Access Hospital 1285643221
O20040902000318 WY Part A Provider - Rural Health Clinic 1871503375
O20031203000672 WY Part B Supplier - Clinic/Group Practice 1356496491

NPIs in this group 5

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment
Other places (12)
  • Glen Allen, VA1
  • Spicewood, TX1
  • Vidor, TX1
  • Santa Rosa Beach, FL1
  • Venetia, PA1
  • Sarasota, FL1
  • Palm City, FL1
  • North Miami Beach, FL1
  • Melbourne Beach, FL1
  • Hays, KS1
  • Topeka, KS1
  • Wichita, KS1

Clinicians 187

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (187) or whom Care Compare lists as members (77).

Sources for this page