Cibola General Hospital Corporation

A Medicare group practice based in Grants, NM: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7113935891), with 215 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7113935891The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
MA, NM, VT
Enrollments
6
Group size
8 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 3 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20060323000127 NM Part B Supplier - Clinic/Group Practice 1780677039
O20071121000279 NM Part A Provider - Critical Access Hospital 1780677039
O20190429002509 NM Part A Provider - Rural Health Clinic 1457675266
O20241230000120 MA Part B Supplier - Clinic/Group Practice 1780677039
O20250102000661 VT Part B Supplier - Clinic/Group Practice 1780677039
O20140123001693 NM Part A Provider - Critical Access Hospital 1780677039

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 215

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (215) or whom Care Compare lists as members (8).

Sources for this page