Buena Vista Regional Medical Center

A Medicare group practice based in Storm Lake, IA: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 3476464421), with 65 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3476464421The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, Part A Provider - Critical Access Hospital, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
IA
Enrollments
5
Group size
25 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
17In 4 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20170207000404 IA DME Supplier - Pharmacy 1821154220
O20040109001054 IA Part B Supplier - Clinic/Group Practice 1780755728
O20070125000132 IA Part A Provider - Critical Access Hospital 1134191653
O20070125000138 IA Part A Provider - Critical Access Hospital 1417905845
O20181025002597 IA Part B Supplier - Mass Immunization (Roster Biller Only) 1821154220

NPIs in this group 5

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 65

Clinicians who reassign their Medicare benefits to this group (65) or whom Care Compare lists as members (25).

Sources for this page