Shasta Community Health Center

A Medicare group practice based in Redding, CA: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 3870579816), with 167 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3870579816The 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
8
Group size
63 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
14In 3 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20040629000721 CA Part B Supplier - Clinic/Group Practice 1114533171
O20071112000530 CA Part A Provider - Federally Qualified Health Center (FQHC) 1891710638
O20100719000493 CA Part A Provider - Federally Qualified Health Center (FQHC) 1942225719
O20100625000635 CA Part A Provider - Federally Qualified Health Center (FQHC) 1013932797
O20190123001482 CA Part A Provider - Federally Qualified Health Center (FQHC) 1710450929
O20200513001426 CA Part A Provider - Federally Qualified Health Center (FQHC) 1669004123
O20201119002767 CA Part A Provider - Federally Qualified Health Center (FQHC) 1356815542
O20160127002562 CA Part A Provider - Federally Qualified Health Center (FQHC) 1952328403

NPIs in this group 8

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 167

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (156) or whom Care Compare lists as members (63).

Sources for this page