NPIMap

My Community Health Center

A Medicare group practice based in Canton, OH: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 3971884636), with 45 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3971884636The 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, Part B Supplier - Pharmacy
Enrolled in
OH
Enrollments
5
Group size
27 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
7In 2 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20170111003340 OH Part B Supplier - Clinic/Group Practice 1588117147
O20240201002085 OH Part A Provider - Federally Qualified Health Center (FQHC) 1659146884
O20230209002528 OH Part B Supplier - Pharmacy 1437891058
O20181010000428 OH Part A Provider - Federally Qualified Health Center (FQHC) 1588117147
O20191209000654 OH Part A Provider - Federally Qualified Health Center (FQHC) 1306495312

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 45

Clinicians who reassign their Medicare benefits to this group (45) or whom Care Compare lists as members (27).

Sources for this page