NPIMap

San Juan County Hospital

A Medicare group practice based in Monticello, UT: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 4486541851), with 31 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4486541851The 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
UT
Enrollments
6
Group size
19 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 3 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20040301000938 UT Part B Supplier - Clinic/Group Practice 1659315877
O20050714000876 UT Part A Provider - Rural Health Clinic 1821045840
O20070105000461 UT Part A Provider - Critical Access Hospital 1831351816
O20060905000582 UT Part A Provider - Critical Access Hospital 1942251459
O20101117001371 UT Part A Provider - Rural Health Clinic 1659315877
O20211007002090 UT Part A Provider - Rural Health Clinic 1588978738

NPIs in this group 6

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 31

Clinicians who reassign their Medicare benefits to this group (31) or whom Care Compare lists as members (19).

Sources for this page