Siskiyou Community Health Center Inc

A Medicare group practice based in Grants Pass, OR: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6305747288), with 36 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6305747288The 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
OR
Enrollments
3
Group size
30 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040114000536 OR Part B Supplier - Clinic/Group Practice 1427046903
O20040227000705 OR Part A Provider - Federally Qualified Health Center (FQHC) 1427046903
O20080916000486 OR Part A Provider - Federally Qualified Health Center (FQHC) 1669638417

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 36

Clinicians who reassign their Medicare benefits to this group (34) or whom Care Compare lists as members (30).

Sources for this page