Walsh Hospital District Healthcare Center
A Medicare group practice based in Walsh, CO: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4789576463), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4789576463
- Provider type
- Part A Provider - Rural Health Clinic, Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
- Enrolled in
- CO
- Enrollments
- 3
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20090422000661 | CO | Part A Provider - Rural Health Clinic | 1588803050 |
| O20100226000486 | CO | Part B Supplier - Ambulance Service Supplier | 1285722298 |
| O20150602001333 | CO | Part B Supplier - Clinic/Group Practice | 1588803050 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Walsh Hospital District Healthcare Center
dba Walsh Ambulance Service
- Land Ambulance
- Walsh, CO
- NPI 1285722298
-
Walsh Hospital District Healthcare Center
dba Walsh Medical Clinic
- Rural Health Clinic/Center
- Walsh, CO
- NPI 1588803050
Practice locations
- Walsh, CO4
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).
-
Mary E Shy, FNP-CS
- Family Nurse Practitioner
- Walsh, CO
- NPI 1053412742
-
Courtney Stuart, NP
- Family Nurse Practitioner
- Lamar, CO
- NPI 1588359988
-
Marian K Tate, ARNP
- Family Nurse Practitioner
- Walsh, CO
- NPI 1326131889
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.