NPIMap

Southern Indian Health Council

A Medicare group practice based in Alpine, CA: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 9830221449), with 32 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9830221449The 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
CA, TX
Enrollments
3
Group size
18 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
7In 3 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20100717000116 CA Part A Provider - Federally Qualified Health Center (FQHC) 1922090885
O20121003000573 CA Part A Provider - Federally Qualified Health Center (FQHC) 1346247947
O20180202000177 TX Part B Supplier - Clinic/Group Practice 1922090885

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 32

Clinicians who reassign their Medicare benefits to this group (31) or whom Care Compare lists as members (18).

Sources for this page