Castle Rock Special Hospital District

A Medicare group practice based in Green River, WY: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 2466340138), with 9 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2466340138The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
WY
Enrollments
4
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20081121000625 WY Part B Supplier - Ambulance Service Supplier 1205982246
O20080403000253 WY Part A Provider - Rural Health Clinic 1952457996
O20040520001580 WY Part B Supplier - Independent Clinical Laboratory 1043366081
O20040308001445 WY Part B Supplier - Clinic/Group Practice 1740206382

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

Clinicians 9

Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (9).

Sources for this page