Crestview Hospital Company LLC

A Medicare group practice based in Crestview, FL: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 3678472313), with 23 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3678472313The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
FL
Enrollments
3
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
15In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040123000275 FL Part B Supplier - Clinic/Group Practice 1861441057
O20070910000373 FL Part A Provider - Hospital 1104897859
O20040726000383 FL Part A Provider - Rural Health Clinic 1659348712

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 23

Clinicians who reassign their Medicare benefits to this group (23) or whom Care Compare lists as members (2).

Sources for this page