NPIMap

Community Health Improvement Center

A Medicare group practice based in Decatur, IL: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 4385625342), with 43 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4385625342The 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
IL
Enrollments
4
Group size
13 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
7In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040526000316 IL Part B Supplier - Clinic/Group Practice 1467784090
O20050126000270 IL Part A Provider - Federally Qualified Health Center (FQHC) 1194794917
O20140527001350 IL Part A Provider - Federally Qualified Health Center (FQHC) 1467784090
O20170614001581 IL Part A Provider - Federally Qualified Health Center (FQHC) 1831635770

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 43

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

Sources for this page