NPIMap

Shortgrass Community Health Center Inc

A Medicare group practice based in Hollis, OK: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 9234385535), with 14 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9234385535The 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
OK
Enrollments
3
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20120801000672 OK Part A Provider - Federally Qualified Health Center (FQHC) 1255695201
O20121101000597 OK Part B Supplier - Clinic/Group Practice 1982263752
O20220217002246 OK Part B Supplier - Pharmacy 1083286975

NPIs in this group 3

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 14

Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (7).

Sources for this page