Tri-County Memorial Hospital Inc

A Medicare group practice based in Whitehall, WI: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 4587642418), with 336 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4587642418The 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 - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
WI
Enrollments
7
Group size
75 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
19In 10 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20090901000361 WI Part A Provider - Critical Access Hospital 1124063573
O20090901000557 WI Part A Provider - Critical Access Hospital 1124063573
O20130129000302 WI Part A Provider - Rural Health Clinic 1659625192
O20130129000373 WI Part A Provider - Rural Health Clinic 1285988733
O20130130000000 WI Part A Provider - Rural Health Clinic 1417201864
O20230727002203 WI Part B Supplier - Ambulance Service Supplier 1396438388
O20040708000696 WI Part B Supplier - Clinic/Group Practice 1417201864

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 336

Page 1 of 4

Clinicians who reassign their Medicare benefits to this group (336) or whom Care Compare lists as members (75).

Sources for this page