North Caddo Hospital Service District

A Medicare group practice based in Vivian, LA: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 4385544584), with 33 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4385544584The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
LA
Enrollments
6
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 2 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20040113000307 LA Part B Supplier - Clinic/Group Practice 1326016684
O20080228000521 LA Part A Provider - Rural Health Clinic 1326016684
O20090508000467 LA Part A Provider - Critical Access Hospital 1417124959
O20090508000441 LA Part A Provider - Critical Access Hospital 1326016684
O20090424000082 LA Part B Supplier - Clinic/Group Practice 1477798668
O20090327000225 LA Part A Provider - Rural Health Clinic 1477798668

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 33

Clinicians who reassign their Medicare benefits to this group (33) or whom Care Compare lists as members (11).

Sources for this page