Douglas County Public Health Services Group, Inc.

A Medicare group practice based in Cabool, MO: 10 NPIs enrolled under one PECOS associate control ID (PAC ID 3072423052), with 34 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3072423052The 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
MO
Enrollments
8
Group size
25 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
15In 8 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20030630000021 MO Part A Provider - Federally Qualified Health Center (FQHC) 1598762593
O20030630000024 MO Part A Provider - Federally Qualified Health Center (FQHC) 1912904145
O20050301000128 MO Part B Supplier - Clinic/Group Practice 1912904004
O20140801000688 MO Part A Provider - Federally Qualified Health Center (FQHC) 1710221130
O20150828000981 MO Part A Provider - Federally Qualified Health Center (FQHC) 1518342153
O20170131002714 MO Part A Provider - Federally Qualified Health Center (FQHC) 1326585761
O20191118001202 MO Part A Provider - Federally Qualified Health Center (FQHC) 1629639109
O20100920000560 MO Part A Provider - Federally Qualified Health Center (FQHC) 1912904004

NPIs in this group 10

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 34

Clinicians who reassign their Medicare benefits to this group (33) or whom Care Compare lists as members (25).

Sources for this page