NPIMap

Lake County Tribal Health Consortium Inc

A Medicare group practice based in Lakeport, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8729975545), with 69 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8729975545The 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
CA
Enrollments
2
Group size
42 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
3In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040304000323 CA Part B Supplier - Clinic/Group Practice 1881697381
O20110412000085 CA Part A Provider - Federally Qualified Health Center (FQHC) 1881697381

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 69

Clinicians who reassign their Medicare benefits to this group (61) or whom Care Compare lists as members (42).

Sources for this page