San Luis Walk-in Clinic Inc

A Medicare group practice based in San Luis, AZ: 24 NPIs enrolled under one PECOS associate control ID (PAC ID 2668361841), with 92 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2668361841The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
Enrolled in
AZ
Enrollments
12
Group size
49 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
23In 6 places

Enrollment records 12

Enrollment IDStateProvider typeNPI
O20040315000556 AZ Part A Provider - Rural Health Clinic 1003991506
O20040514000795 AZ Part B Supplier - Clinic/Group Practice 1104228337
O20200505001943 AZ Part A Provider - Rural Health Clinic 1316568595
O20200511002274 AZ Part A Provider - Rural Health Clinic 1841838034
O20210309003076 AZ Part A Provider - Rural Health Clinic 1447865654
O20210311001299 AZ Part B Supplier - Ambulatory Surgical Center 1114549987
O20210316001228 AZ Part A Provider - Rural Health Clinic 1083229843
O20210309002953 AZ Part A Provider - Rural Health Clinic 1316552516
O20210316000496 AZ Part A Provider - Rural Health Clinic 1457966657
O20130912000847 AZ Part A Provider - Rural Health Clinic 1972891349
O20180122002047 AZ Part A Provider - Rural Health Clinic 1144680455
O20170807000894 AZ Part A Provider - Rural Health Clinic 1336677426

NPIs in this group 24

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 92

Clinicians who reassign their Medicare benefits to this group (91) or whom Care Compare lists as members (48).

Sources for this page