NPIMap

Hardeman County Community Health Center

A Medicare group practice based in Bolivar, TN: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 5799694147), with 15 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5799694147The 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
TN
Enrollments
5
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 3 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20090922000725 TN Part A Provider - Federally Qualified Health Center (FQHC) 1861468340
O20030307000000 TN Part A Provider - Federally Qualified Health Center (FQHC) 1356531610
O20070919000416 TN Part A Provider - Federally Qualified Health Center (FQHC) 1366637969
O20040615001290 TN Part B Supplier - Clinic/Group Practice 1861468340
O20241205004110 TN Part A Provider - Federally Qualified Health Center (FQHC) 1942049135

NPIs in this group 5

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 15

Clinicians who reassign their Medicare benefits to this group (14) or whom Care Compare lists as members (9).

Sources for this page