NPIMap

Confederated Tribes of the Grand Ronde Community of Oregon

A Medicare group practice based in Grand Ronde, OR: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6103717277), with 25 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6103717277The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
OR
Enrollments
2
Group size
17 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 4 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040320000494 OR Part B Supplier - Clinic/Group Practice 1174666358
O20211206000619 OR Part B Supplier - Ambulance Service Supplier 1215606132

NPIs in this group 2

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 (25) or whom Care Compare lists as members (17).

Sources for this page