NPIMap

Cowlitz Indian Tribe

A Medicare group practice based in Vancouver, WA: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 8820030133), with 43 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8820030133The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
TX
Enrollments
1
Group size
26 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 6 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20050526000589 TX Part B Supplier - Clinic/Group Practice 1740562909

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 43

Clinicians who reassign their Medicare benefits to this group (43) or whom Care Compare lists as members (26).

Sources for this page