NPIMap

Coal Country Community Health Center

A Medicare group practice based in Killdeer, ND: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 9436042892), with 21 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9436042892The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
MDPP Supplier - in-Person MDPP Supplier, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
ND
Enrollments
6
Group size
19 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
12In 4 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20040317001173 ND Part B Supplier - Clinic/Group Practice 1942288329
O20160504001608 ND Part A Provider - Federally Qualified Health Center (FQHC) 1841658887
O20150909002323 ND Part A Provider - Federally Qualified Health Center (FQHC) 1407235575
O20100309000386 ND Part A Provider - Federally Qualified Health Center (FQHC) 1942288329
O20090401000155 ND Part A Provider - Federally Qualified Health Center (FQHC) 1003052952
O20191118000516 ND MDPP Supplier - in-Person MDPP Supplier 1841658887

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 21

Clinicians who reassign their Medicare benefits to this group (20) or whom Care Compare lists as members (19).

Sources for this page