Open Door Health Center

A Medicare group practice based in Mankato, MN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7012944085), with 23 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7012944085The 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
MN
Enrollments
2
Group size
8 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20070717000563 MN Part A Provider - Federally Qualified Health Center (FQHC) 1891740908
O20150930001410 MN Part B Supplier - Clinic/Group Practice 1891740908

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 23

Clinicians who reassign their Medicare benefits to this group (23) or whom Care Compare lists as members (8).

Sources for this page