NPIMap

Outpatient Medical Center, Inc.

A Medicare group practice based in Leesville, LA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 5597651794), with 14 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5597651794The 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
LA
Enrollments
4
Group size
10 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 3 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040225000257 LA Part A Provider - Federally Qualified Health Center (FQHC) 1750311064
O20040225000238 LA Part A Provider - Federally Qualified Health Center (FQHC) 1871523266
O20040807000145 LA Part B Supplier - Clinic/Group Practice 1871523266
O20101227000127 LA Part A Provider - Federally Qualified Health Center (FQHC) 1285664508

NPIs in this group 3

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 14

Clinicians who reassign their Medicare benefits to this group (14) or whom Care Compare lists as members (10).

Sources for this page