NPIMap

Tri-State Community Health Center Inc

A Medicare group practice based in Cumberland, MD: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 9335057355), with 30 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9335057355The 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
MD, PA, WV
Enrollments
8
Group size
19 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
11In 4 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20030108000007 MD Part A Provider - Federally Qualified Health Center (FQHC) 1457301939
O20040219000462 MD Part B Supplier - Clinic/Group Practice 1366491201
O20051019000147 MD Part A Provider - Federally Qualified Health Center (FQHC) 1467401372
O20060524000033 PA Part B Supplier - Clinic/Group Practice 1932159464
O20060829000214 PA Part A Provider - Federally Qualified Health Center (FQHC) 1932159464
O20130924000281 WV Part A Provider - Federally Qualified Health Center (FQHC) 1083055081
O20130910000377 WV Part B Supplier - Clinic/Group Practice 1083055081
O20100813000835 MD Part A Provider - Federally Qualified Health Center (FQHC) 1366491201

NPIs in this group 5

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 30

Clinicians who reassign their Medicare benefits to this group (30) or whom Care Compare lists as members (19).

Sources for this page