NPIMap

Shoshone Medical Center

A Medicare group practice based in Smelterville, ID: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6103739107), with 73 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6103739107The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
ID
Enrollments
4
Group size
15 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
7In 2 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20200902002026 ID Part A Provider - Rural Health Clinic 1487272399
O20061104000442 ID Part A Provider - Critical Access Hospital 1043215437
O20071003000175 ID Part A Provider - Critical Access Hospital 1043215437
O20050113001084 ID Part B Supplier - Clinic/Group Practice 1043215437

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 73

Clinicians who reassign their Medicare benefits to this group (69) or whom Care Compare lists as members (15).

Sources for this page