NPIMap

Four Corners Community Behavioral Health Inc

A Medicare group practice based in Price, UT: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2769377415), with 35 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2769377415The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Opioid Treatment Program (Otp)
Enrolled in
UT
Enrollments
2
Group size
21 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 3 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040220000304 UT Part B Supplier - Clinic/Group Practice 1487715330
O20200928002126 UT Part B Supplier - Opioid Treatment Program (Otp) 1164048492

NPIs in this group 2

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 35

Clinicians who reassign their Medicare benefits to this group (35) or whom Care Compare lists as members (21).

Sources for this page