NPIMap

La Clinica del Pueblo de Rio Arriba

A Medicare group practice based in Tierra Amarilla, NM: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9638148018), with 9 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9638148018The 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 - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
NM
Enrollments
3
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20041001000529 NM Part B Supplier - Clinic/Group Practice 1598797805
O20050126000763 NM Part B Supplier - Ambulance Service Supplier 1215129291
O20100929000743 NM Part A Provider - Federally Qualified Health Center (FQHC) 1598797805

NPIs in this group 2

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 9

Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (6).

Sources for this page