NPIMap

PHS Indian Hospital

A Medicare group practice based in Redlake, MN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4789598731), with 57 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4789598731The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, Part A Provider - Indian Health Services Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
MN, TX
Enrollments
3
Group size
21 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 3 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20031114000287 TX Part B Supplier - Clinic/Group Practice 1508809765
O20080611000398 MN Part A Provider - Indian Health Services Facility 1508809765
O20120626000228 MN DME Supplier - Pharmacy 1063549822

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 57

Clinicians who reassign their Medicare benefits to this group (57) or whom Care Compare lists as members (21).

Sources for this page