Clinch County Hospital Authority

A Medicare group practice based in Homerville, GA: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 7416849922), with 103 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7416849922The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
GA
Enrollments
4
Group size
13 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 2 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040329000922 GA Part B Supplier - Clinic/Group Practice 1861478851
O20230208000125 GA Part A Provider - Critical Access Hospital 1861478851
O20220830003408 GA Part A Provider - Critical Access Hospital 1891738308
O20220202001676 GA Part B Supplier - Pharmacy 1518550870

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 103

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (103) or whom Care Compare lists as members (13).

Sources for this page