NPIMap

Mendocino Community Health Clinic Inc

A Medicare group practice based in Ukiah, CA: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 6305755455), with 135 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6305755455The 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
CA
Enrollments
6
Group size
57 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
13In 3 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20181031001331 CA Part A Provider - Federally Qualified Health Center (FQHC) 1356714646
O20180510002319 CA Part A Provider - Federally Qualified Health Center (FQHC) 1750809463
O20030331000024 CA Part A Provider - Federally Qualified Health Center (FQHC) 1922020585
O20040826001483 CA Part B Supplier - Clinic/Group Practice 1497961106
O20091228000345 CA Part A Provider - Federally Qualified Health Center (FQHC) 1811958952
O20100616000495 CA Part A Provider - Federally Qualified Health Center (FQHC) 1770516304

NPIs in this group 6

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 135

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Clinicians who reassign their Medicare benefits to this group (135) or whom Care Compare lists as members (57).

Sources for this page