NPIMap

Katahdin Valley Health Center

A Medicare group practice based in Patten, ME: 15 NPIs enrolled under one PECOS associate control ID (PAC ID 4880659903), with 90 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4880659903The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, DME Supplier - Physician - Optometrist, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
ME
Enrollments
17
Group size
66 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
26In 7 places

Enrollment records 17

Enrollment IDStateProvider typeNPI
O20041130000688 ME Part B Supplier - Clinic/Group Practice 1376618546
O20070205000317 ME Part A Provider - Federally Qualified Health Center (FQHC) 1669450524
O20110815000073 ME Part A Provider - Federally Qualified Health Center (FQHC) 1003034406
O20101106000058 ME Part A Provider - Federally Qualified Health Center (FQHC) 1376618546
O20250114000245 ME DME Supplier - Pharmacy 1194428656
O20250110001628 ME DME Supplier - Physician - Optometrist 1609577634
O20250501000885 ME DME Supplier - Physician - Optometrist 1952110678
O20250317000234 ME Part A Provider - Federally Qualified Health Center (FQHC) 1952110678
O20231214002450 ME Part A Provider - Federally Qualified Health Center (FQHC) 1609577634
O20151208002051 ME Part B Supplier - Mass Immunization (Roster Biller Only) 1457421307
O20170308002835 ME DME Supplier - Pharmacy 1528422599
O20161205002497 ME DME Supplier - Pharmacy 1508249319
O20171208000354 ME DME Supplier - Pharmacy 1285156166
O20151008001975 ME Part A Provider - Federally Qualified Health Center (FQHC) 1053787721
O20150810001410 ME Part A Provider - Federally Qualified Health Center (FQHC) 1538541131
O20140317000169 ME Part A Provider - Federally Qualified Health Center (FQHC) 1962833624
O20220922000719 ME DME Supplier - Physician - Optometrist 1053787721

NPIs in this group 15

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 90

Clinicians who reassign their Medicare benefits to this group (82) or whom Care Compare lists as members (66).

Sources for this page