Pendleton Community Care Inc

A Medicare group practice based in Franklin, WV: 10 NPIs enrolled under one PECOS associate control ID (PAC ID 3678470614), with 25 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3678470614The 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, Part B Supplier - Public Health/Welfare Agency
Enrolled in
WV
Enrollments
9
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
10In 5 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20141105000244 WV Part A Provider - Federally Qualified Health Center (FQHC) 1205243961
O20141205001026 WV Part A Provider - Federally Qualified Health Center (FQHC) 1912314667
O20141203002292 WV Part A Provider - Federally Qualified Health Center (FQHC) 1932516697
O20141205000954 WV Part A Provider - Federally Qualified Health Center (FQHC) 1386051035
O20130717000824 WV Part B Supplier - Clinic/Group Practice 1437401643
O20121114000473 WV Part A Provider - Federally Qualified Health Center (FQHC) 1427307222
O20031217000523 WV Part B Supplier - Public Health/Welfare Agency 1265634059
O20050211000291 WV Part A Provider - Federally Qualified Health Center (FQHC) 1417931379
O20050321000400 WV Part A Provider - Federally Qualified Health Center (FQHC) 1417936535

NPIs in this group 10

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 25

Clinicians who reassign their Medicare benefits to this group (25) or whom Care Compare lists as members (11).

Sources for this page