NPIMap

Southern Mono Health Care District

A Medicare group practice based in Mammoth Lakes, CA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 9830002401), with 127 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9830002401The 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
CA
Enrollments
3
Group size
94 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
O20100804000884 CA Part A Provider - Rural Health Clinic 1053456400
O20100915000147 CA Part A Provider - Critical Access Hospital 1962444059
O20031118001160 CA Part B Supplier - Clinic/Group Practice 1962444059

NPIs in this group 3

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 127

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (124) or whom Care Compare lists as members (94).

Sources for this page