The Providence Community Health Centers Inc.

A Medicare group practice based in Providence, RI: 10 NPIs enrolled under one PECOS associate control ID (PAC ID 9335050962), with 116 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9335050962The 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
RI
Enrollments
9
Group size
90 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
19In 1 place

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20220425000168 RI Part A Provider - Federally Qualified Health Center (FQHC) 1558017319
O20170816001365 RI Part A Provider - Federally Qualified Health Center (FQHC) 1083138572
O20070810000667 RI Part A Provider - Federally Qualified Health Center (FQHC) 1821120924
O20040608000007 RI Part B Supplier - Clinic/Group Practice 1053313593
O20060911000247 RI Part A Provider - Federally Qualified Health Center (FQHC) 1174576342
O20030812000065 RI Part A Provider - Federally Qualified Health Center (FQHC) 1508868035
O20030812000063 RI Part A Provider - Federally Qualified Health Center (FQHC) 1669474102
O20030812000060 RI Part A Provider - Federally Qualified Health Center (FQHC) 1417959867
O20110719000179 RI Part A Provider - Federally Qualified Health Center (FQHC) 1558650986

NPIs in this group 10

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 116

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (116) or whom Care Compare lists as members (90).

Sources for this page