NPIMap

Glenns Ferry Health Center Inc

A Medicare group practice based in Mountain Home, ID: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 5496656894), with 26 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5496656894The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
ID
Enrollments
5
Group size
17 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
7In 3 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20040119000307 ID Part B Supplier - Clinic/Group Practice 1376673137
O20080605000685 ID Part A Provider - Federally Qualified Health Center (FQHC) 1972633949
O20060103000828 ID Part A Provider - Federally Qualified Health Center (FQHC) 1376673137
O20041112001171 ID Part A Provider - Federally Qualified Health Center (FQHC) 1518097047
O20191004000125 ID Part A Provider - Federally Qualified Health Center (FQHC) 1881252344

NPIs in this group 4

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 26

Clinicians who reassign their Medicare benefits to this group (26) or whom Care Compare lists as members (17).

Sources for this page