Glenn Medical Center, LLC

A Medicare group practice based in Willows, CA: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 4486050838), with 24 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4486050838The 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
CA
Enrollments
3
Group size
13 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
3In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20210909002556 CA Part A Provider - Critical Access Hospital 1619929759
O20220725001330 CA Part A Provider - Critical Access Hospital 1336187178
O20230601002610 CA Part B Supplier - Clinic/Group Practice 1356388961

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 24

Clinicians who reassign their Medicare benefits to this group (24) or whom Care Compare lists as members (13).

Sources for this page