NPIMap

Coppertower Family Medical Center

A Medicare group practice based in Cloverdale, CA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 3274445465), with 10 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3274445465The 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
CA
Enrollments
3
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20031105000381 CA Part B Supplier - Clinic/Group Practice 1033534466
O20140325000263 CA Part A Provider - Federally Qualified Health Center (FQHC) 1033534466
O20140910000835 CA Part A Provider - Federally Qualified Health Center (FQHC) 1699106781

NPIs in this group 3

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 10

Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (2).

Sources for this page