NPIMap

Lee County Cooperative Clinic

A Medicare group practice based in Madison, AR: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 8921917204), with 9 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8921917204The 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
AR
Enrollments
5
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 4 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20030310000013 AR Part A Provider - Federally Qualified Health Center (FQHC) 1134137219
O20100624000898 AR Part A Provider - Federally Qualified Health Center (FQHC) 1669480836
O20100818001076 AR Part A Provider - Federally Qualified Health Center (FQHC) 1356359442
O20100818000433 AR Part A Provider - Federally Qualified Health Center (FQHC) 1679581532
O20081213000190 AR Part B Supplier - Clinic/Group Practice 1669480836

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 9

Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (4).

Sources for this page