Banner Churchill Community Hospital

A Medicare group practice based in Fallon, NV: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 9638080500), with 30 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9638080500The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
NV
Enrollments
4
Group size
23 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 2 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040701000826 NV Part B Supplier - Clinic/Group Practice 1265811251
O20150611001543 NV Part A Provider - Critical Access Hospital 1265811251
O20171011001557 NV Part A Provider - Rural Health Clinic 1548780554
O20171002002716 NV Part A Provider - Rural Health Clinic 1326568767

NPIs in this group 4

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 (29) or whom Care Compare lists as members (23).

Sources for this page