Kayenta Alternative Rural Hospital

A Medicare group practice based in Dennehotso, AZ: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 3678558129), with 214 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3678558129The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Indian Health Services Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
AZ, TX
Enrollments
2
Group size
60 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 3 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040621000422 TX Part B Supplier - Clinic/Group Practice 1174692529
O20230323000828 AZ Part A Provider - Indian Health Services Facility 1174692529

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 214

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (213) or whom Care Compare lists as members (60).

Sources for this page