NPIMap

McCloud Healthcare Clinic, Inc.

A Medicare group practice based in Dunsmuir, CA: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 3779494919), with 28 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3779494919The 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
Enrolled in
CA
Enrollments
5
Group size
10 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
7In 3 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20031118001091 CA Part B Supplier - Clinic/Group Practice 1164428488
O20130110000509 CA Part A Provider - Federally Qualified Health Center (FQHC) 1376893420
O20231206004049 CA Part A Provider - Federally Qualified Health Center (FQHC) 1457059768
O20190424001812 CA Part A Provider - Federally Qualified Health Center (FQHC) 1033675582
O20100505000876 CA Part A Provider - Federally Qualified Health Center (FQHC) 1164428488

NPIs in this group 4

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 28

Clinicians who reassign their Medicare benefits to this group (28) or whom Care Compare lists as members (10).

Sources for this page