Canoncito Band of Navajos Health Center, Inc

A Medicare group practice based in Tohajiilee, NM: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8325321235), with 23 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8325321235The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
NM, TX
Enrollments
3
Group size
8 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20170218000200 TX Part B Supplier - Pharmacy 1629525605
O20170425001197 TX Part B Supplier - Clinic/Group Practice 1578010070
O20190312002408 NM Part A Provider - Federally Qualified Health Center (FQHC) 1578010070

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 23

Clinicians who reassign their Medicare benefits to this group (23) or whom Care Compare lists as members (8).

Sources for this page