NPIMap

Grant County Public Hospital District No 5

A Medicare group practice based in Mattawa, WA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 3274525837), with 11 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3274525837The 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
WA
Enrollments
4
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20120926000559 WA Part A Provider - Federally Qualified Health Center (FQHC) 1699720797
O20040401001562 WA Part B Supplier - Clinic/Group Practice 1699720797
O20240611004556 WA Part A Provider - Federally Qualified Health Center (FQHC) 1609410075
O20240710000864 WA Part A Provider - Federally Qualified Health Center (FQHC) 1013743210

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 11

Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (6).

Sources for this page