Five Rivers Health Centers

A Medicare group practice based in Dayton, OH: 16 NPIs enrolled under one PECOS associate control ID (PAC ID 9335300904), with 75 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9335300904The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Podiatry, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
OH
Enrollments
10
Group size
45 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
17In 2 places

Enrollment records 10

Enrollment IDStateProvider typeNPI
O20120409000638 OH Part B Supplier - Clinic/Group Practice 1669143061
O20121031000193 OH Part A Provider - Federally Qualified Health Center (FQHC) 1114280690
O20150813010923 OH Part A Provider - Federally Qualified Health Center (FQHC) 1750761813
O20170524002475 OH Part A Provider - Federally Qualified Health Center (FQHC) 1801331384
O20190521002363 OH Part A Provider - Federally Qualified Health Center (FQHC) 1396212510
O20200129001914 OH Part A Provider - Federally Qualified Health Center (FQHC) 1730722570
O20210520002946 OH Part A Provider - Federally Qualified Health Center (FQHC) 1871190728
O20220430000045 OH Part A Provider - Federally Qualified Health Center (FQHC) 1891466280
O20241220003497 OH DME Supplier - Physician - Podiatry 1669143061
O20241220002012 OH DME Supplier - Physician - Podiatry 1053600775

NPIs in this group 16

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 75

Clinicians who reassign their Medicare benefits to this group (75) or whom Care Compare lists as members (45).

Sources for this page