County of Tillamook

A Medicare group practice based in Tillamook, OR: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 3173411287), with 11 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3173411287The 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
OR
Enrollments
4
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
11In 3 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040413000702 OR Part B Supplier - Clinic/Group Practice 1528151362
O20251208002387 OR Part A Provider - Federally Qualified Health Center (FQHC) 1003606732
O20101122000998 OR Part A Provider - Federally Qualified Health Center (FQHC) 1528151362
O20100830000339 OR Part A Provider - Federally Qualified Health Center (FQHC) 1184887523

NPIs in this group 6

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 11

Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (9).

Sources for this page