NPIMap

Citizens of Lake County for Health Care Inc

A Medicare group practice based in Ripley, TN: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 6507052073), with 11 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6507052073The 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
TN
Enrollments
5
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 4 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20101123000371 TN Part A Provider - Federally Qualified Health Center (FQHC) 1841311529
O20101123000838 TN Part A Provider - Federally Qualified Health Center (FQHC) 1851697817
O20110718000034 TN Part B Supplier - Clinic/Group Practice 1841311529
O20130613000689 TN Part A Provider - Federally Qualified Health Center (FQHC) 1558609628
O20200701002392 TN Part A Provider - Federally Qualified Health Center (FQHC) 1619593944

NPIs in this group 4

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 11

Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (9).

Sources for this page