NPIMap

Tri-State Memorial Hospital

A Medicare group practice based in Clarkston, WA: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 4082502422), with 188 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4082502422The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
ID, WA
Enrollments
4
Group size
33 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
16In 2 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040308001123 WA Part B Supplier - Clinic/Group Practice 1598814352
O20040911000031 ID Part B Supplier - Clinic/Group Practice 1598814352
O20070911000972 WA Part A Provider - Critical Access Hospital 1174697353
O20061104000320 WA Part A Provider - Critical Access Hospital 1760485221

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 188

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (188) or whom Care Compare lists as members (33).

Sources for this page