La Pine Community Health Center

A Medicare group practice based in La Pine, OR: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 8224187018), with 23 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8224187018The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
MDPP Supplier - in-Person MDPP Supplier, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
OR
Enrollments
5
Group size
13 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
7In 3 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20090611000055 OR Part B Supplier - Clinic/Group Practice 1639316193
O20090527000628 OR Part A Provider - Federally Qualified Health Center (FQHC) 1639316193
O20140807001035 OR Part A Provider - Federally Qualified Health Center (FQHC) 1063825776
O20140812000273 OR Part A Provider - Federally Qualified Health Center (FQHC) 1669889341
O20180529001713 OR MDPP Supplier - in-Person MDPP Supplier 1639316193

NPIs in this group 3

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 23

Clinicians who reassign their Medicare benefits to this group (23) or whom Care Compare lists as members (13).

Sources for this page