NPIMap

Southern Ute Indian Tribe

A Medicare group practice based in Ignacio, CO: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6800928292), with 14 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6800928292The 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
TX
Enrollments
2
Group size
13 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20100721000157 TX Part B Supplier - Clinic/Group Practice 1407883309
O20160331002427 TX Part A Provider - Federally Qualified Health Center (FQHC) 1164881686

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 14

Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (13).

Sources for this page