NPIMap

Interior Community Health Center

A Medicare group practice based in Fairbanks, AK: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 9830001031), with 8 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9830001031The 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
AK
Enrollments
2
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20041123000041 AK Part A Provider - Federally Qualified Health Center (FQHC) 1457552903
O20031105000421 AK Part B Supplier - Clinic/Group Practice 1609942754

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 8

Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (6).

Sources for this page