NPIMap

Kiamichi Family Medical Center Inc.

A Medicare group practice based in Broken Bow, OK: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 7315855541), with 15 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7315855541The 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
OK
Enrollments
6
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
7In 3 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20161012001345 OK Part A Provider - Federally Qualified Health Center (FQHC) 1902269012
O20180724001230 OK Part A Provider - Federally Qualified Health Center (FQHC) 1780172916
O20181127003118 OK Part B Supplier - Clinic/Group Practice 1780172916
O20021212000008 OK Part A Provider - Federally Qualified Health Center (FQHC) 1134138720
O20040304000870 OK Part B Supplier - Clinic/Group Practice 1134138720
O20060303000614 OK Part A Provider - Federally Qualified Health Center (FQHC) 1184633786

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 15

Clinicians who reassign their Medicare benefits to this group (15) or whom Care Compare lists as members (11).

Sources for this page