NPIMap

Waterfall Clinic Incorporated

A Medicare group practice based in North Bend, OR: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 5698740355), with 38 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5698740355The 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
OR
Enrollments
6
Group size
16 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
12In 2 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20040827000153 OR Part B Supplier - Clinic/Group Practice 1619915113
O20080221000462 OR Part A Provider - Federally Qualified Health Center (FQHC) 1619915113
O20250912004236 OR Part A Provider - Federally Qualified Health Center (FQHC) 1619673704
O20230525001993 OR Part A Provider - Federally Qualified Health Center (FQHC) 1700522489
O20140729002307 OR Part A Provider - Federally Qualified Health Center (FQHC) 1508133299
O20220708001445 OR Part A Provider - Federally Qualified Health Center (FQHC) 1447889480

NPIs in this group 7

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 38

Clinicians who reassign their Medicare benefits to this group (38) or whom Care Compare lists as members (16).

Sources for this page