NPIMap

Shackelford County Community Resource Center

A Medicare group practice based in Cross Plains, TX: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 8628027174), with 27 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8628027174The 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
Enrolled in
OK, TX
Enrollments
7
Group size
25 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
12In 6 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20050121000572 TX Part B Supplier - Clinic/Group Practice 1194804278
O20080609000104 TX Part A Provider - Federally Qualified Health Center (FQHC) 1881985299
O20120131000925 OK Part A Provider - Federally Qualified Health Center (FQHC) 1215205265
O20090514000255 TX Part A Provider - Federally Qualified Health Center (FQHC) 1073749784
O20101110000421 TX Part A Provider - Federally Qualified Health Center (FQHC) 1417248824
O20101110000123 TX Part A Provider - Federally Qualified Health Center (FQHC) 1194804278
O20160121000265 TX Part A Provider - Federally Qualified Health Center (FQHC) 1184096273

NPIs in this group 6

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 27

Clinicians who reassign their Medicare benefits to this group (26) or whom Care Compare lists as members (25).

Sources for this page