Lost Rivers Medical Center

A Medicare group practice based in Arco, ID: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 7810807427), with 22 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7810807427The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
MDPP Supplier - in-Person MDPP Supplier, Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
ID
Enrollments
7
Group size
16 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
7In 2 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20030513000038 ID Part A Provider - Rural Health Clinic 1427062181
O20080409000117 ID Part A Provider - Critical Access Hospital 1114925047
O20040612000135 ID Part B Supplier - Clinic/Group Practice 1427062181
O20070727000737 ID Part A Provider - Rural Health Clinic 1760402663
O20100913000965 ID Part A Provider - Critical Access Hospital 1134130107
O20220608002575 ID MDPP Supplier - in-Person MDPP Supplier 1114925047
O20161025002060 ID Part B Supplier - Clinic/Group Practice 1760402663

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 22

Clinicians who reassign their Medicare benefits to this group (21) or whom Care Compare lists as members (16).

Sources for this page