NPIMap

Board of Governors of Dallas County Medical Center

A Medicare group practice based in Fordyce, AR: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 7416869300), with 16 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7416869300The 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
AR
Enrollments
5
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 1 place

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20040302000815 AR Part B Supplier - Clinic/Group Practice 1043308935
O20070309000177 AR Part A Provider - Rural Health Clinic 1346378528
O20070226000752 AR Part A Provider - Critical Access Hospital 1306826029
O20070227000164 AR Part A Provider - Critical Access Hospital 1275708885
O20180221000855 AR Part A Provider - Rural Health Clinic 1508364241

NPIs in this group 5

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 16

Clinicians who reassign their Medicare benefits to this group (16) or whom Care Compare lists as members (7).

Sources for this page