NPIMap

Concho Valley Center for Human Advancement

A Medicare group practice based in San Angelo, TX: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7719936533), with 21 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7719936533The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
TX
Enrollments
1
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20050119000856 TX Part B Supplier - Clinic/Group Practice 1164479192

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 21

Clinicians who reassign their Medicare benefits to this group (21) or whom Care Compare lists as members (7).

Sources for this page