Mora Valley Community Health Services Inc

A Medicare group practice based in Mora, NM: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4486541901), with 9 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4486541901The 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
NM
Enrollments
3
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040301000532 NM Part B Supplier - Clinic/Group Practice 1508840117
O20161212000754 NM Part A Provider - Federally Qualified Health Center (FQHC) 1396104964
O20110214000755 NM Part A Provider - Federally Qualified Health Center (FQHC) 1508840117

NPIs in this group 2

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 9

Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (6).

Sources for this page