NPIMap

Urban Rehab, Inc

A Medicare group practice based in Jackson, MS: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7012214638), with 6 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7012214638The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Community Mental Health Center, Part B Supplier - Clinic/Group Practice
Enrolled in
MS, WI
Enrollments
3
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20160328000462 MS Part B Supplier - Clinic/Group Practice 1417370313
O20260206001954 WI Part B Supplier - Clinic/Group Practice 1417370313
O20211230001154 MS Part A Provider - Community Mental Health Center 1003469743

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 6

Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (2).

Sources for this page