NPIMap

Upper Valley Community Health Services Inc

A Medicare group practice based in Idaho Falls, ID: 10 NPIs enrolled under one PECOS associate control ID (PAC ID 4385725282), with 34 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4385725282The 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
ID
Enrollments
7
Group size
31 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
14In 4 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20080117000024 ID Part A Provider - Federally Qualified Health Center (FQHC) 1972792489
O20120611000120 ID Part B Supplier - Clinic/Group Practice 1972792489
O20180517002625 ID Part A Provider - Federally Qualified Health Center (FQHC) 1396507190
O20160304001867 ID Part A Provider - Federally Qualified Health Center (FQHC) 1124403258
O20240610002569 ID Part A Provider - Federally Qualified Health Center (FQHC) 1932961810
O20251230000367 ID Part A Provider - Federally Qualified Health Center (FQHC) 1649142712
O20201002002019 ID Part B Supplier - Pharmacy 1831721398

NPIs in this group 10

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 34

Clinicians who reassign their Medicare benefits to this group (33) or whom Care Compare lists as members (31).

Sources for this page