Sullivan County Community Hospital

A Medicare group practice based in Sullivan, IN: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 2466497482), with 49 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2466497482The 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, Part B Supplier - Hospital Department(S)
Enrolled in
IN
Enrollments
8
Group size
44 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
19In 3 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20061104000528 IN Part A Provider - Critical Access Hospital 1497759260
O20070817000379 IN Part B Supplier - Clinic/Group Practice 1497759260
O20071113000516 IN Part A Provider - Critical Access Hospital 1497759260
O20250612000721 IN Part B Supplier - Clinic/Group Practice 1487450698
O20190814000505 IN Part A Provider - Rural Health Clinic 1447805965
O20200117000707 IN Part B Supplier - Hospital Department(S) 1447805965
O20200831000591 IN Part B Supplier - Clinic/Group Practice 1497363303
O20200414001364 IN Part B Supplier - Clinic/Group Practice 1366076564

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 49

Clinicians who reassign their Medicare benefits to this group (49) or whom Care Compare lists as members (44).

Sources for this page