NPIMap

Boundary Regional Community Health Center Inc

A Medicare group practice based in Sandpoint, ID: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 2264341221), with 33 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2264341221The 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
ID
Enrollments
5
Group size
22 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 3 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20030409000005 ID Part A Provider - Federally Qualified Health Center (FQHC) 1306883244
O20050824001104 ID Part A Provider - Federally Qualified Health Center (FQHC) 1811054877
O20050211000195 ID Part B Supplier - Clinic/Group Practice 1538447727
O20120725000400 ID Part A Provider - Federally Qualified Health Center (FQHC) 1538447727
O20150105001778 ID Part A Provider - Federally Qualified Health Center (FQHC) 1316343320

NPIs in this group 4

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 33

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

Sources for this page