St Croix Regional Family Health Center

A Medicare group practice based in Calais, ME: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 3577524024), with 22 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3577524024The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Optometrist, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
ME
Enrollments
5
Group size
21 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
7In 2 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20041019000977 ME Part B Supplier - Clinic/Group Practice 1831174614
O20210511002456 ME Part A Provider - Federally Qualified Health Center (FQHC) 1467573469
O20220131002321 ME Part A Provider - Federally Qualified Health Center (FQHC) 1083379655
O20081024000307 ME Part A Provider - Federally Qualified Health Center (FQHC) 1831174614
O20250501000073 ME DME Supplier - Physician - Optometrist 1831174614

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 22

Clinicians who reassign their Medicare benefits to this group (21) or whom Care Compare lists as members (21).

Sources for this page