Kane County Human Resource Special Service District

A Medicare group practice based in Kanab, UT: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 5092603316), with 53 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5092603316The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Skilled Nursing Facility, Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
UT
Enrollments
9
Group size
36 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
15In 7 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20040309000209 UT Part B Supplier - Clinic/Group Practice 1043380991
O20071010000023 UT Part B Supplier - Ambulance Service Supplier 1801000427
O20090727000146 UT Part A Provider - Critical Access Hospital 1215001037
O20090727000130 UT Part A Provider - Critical Access Hospital 1215001037
O20180123001333 UT Part A Provider - Skilled Nursing Facility 1720127608
O20180123001855 UT Part A Provider - Skilled Nursing Facility 1740604958
O20180123001163 UT Part A Provider - Skilled Nursing Facility 1255612487
O20180123001210 UT Part A Provider - Skilled Nursing Facility 1063401750
O20180123001246 UT Part A Provider - Skilled Nursing Facility 1144554734

NPIs in this group 9

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 53

Clinicians who reassign their Medicare benefits to this group (53) or whom Care Compare lists as members (36).

Sources for this page