State of Montana

A Medicare group practice based in Columbia Falls, MT: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 3870499676), with 34 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3870499676The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
MT
Enrollments
2
Group size
13 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 5 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20031211000579 MT Part B Supplier - Clinic/Group Practice 1356351183
O20060510000350 MT Part A Provider - Skilled Nursing Facility 1356351183

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 34

Clinicians who reassign their Medicare benefits to this group (34) or whom Care Compare lists as members (13).

Sources for this page