NPIMap

Mt Graham Regional Medical Center Inc

A Medicare group practice based in Safford, AZ: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6204822364), with 160 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6204822364The 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
AZ
Enrollments
4
Group size
64 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040423000105 AZ Part B Supplier - Clinic/Group Practice 1275588345
O20120620000593 AZ Part A Provider - Rural Health Clinic 1346528759
O20201020002698 AZ Part A Provider - Critical Access Hospital 1275588345
O20201016000847 AZ Part A Provider - Critical Access Hospital 1275588345

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 160

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (158) or whom Care Compare lists as members (64).

Sources for this page