NPIMap

Cowlitz Family Health Center

A Medicare group practice based in Longview, WA: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 5991696395), with 25 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5991696395The 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
WA, WI
Enrollments
9
Group size
21 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
16In 6 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20221028000959 WA Part A Provider - Federally Qualified Health Center (FQHC) 1609524164
O20161221001216 WA Part A Provider - Federally Qualified Health Center (FQHC) 1962876748
O20121212000566 WA Part A Provider - Federally Qualified Health Center (FQHC) 1366790008
O20160311001302 WA Part A Provider - Federally Qualified Health Center (FQHC) 1801266481
O20040324000330 WA Part B Supplier - Clinic/Group Practice 1891724506
O20040825000841 WA Part A Provider - Federally Qualified Health Center (FQHC) 1891856142
O20040825000373 WA Part A Provider - Federally Qualified Health Center (FQHC) 1053472993
O20100309000580 WA Part A Provider - Federally Qualified Health Center (FQHC) 1538497417
O20101110001186 WI Part A Provider - Federally Qualified Health Center (FQHC) 1891724506

NPIs in this group 8

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 25

Clinicians who reassign their Medicare benefits to this group (19) or whom Care Compare lists as members (21).

Sources for this page