NPIMap

Foothill Clinic LLC

A Medicare group practice based in Salt Lake City, UT: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9931003795), with 57 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9931003795The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Family Practice, Part B Supplier - Clinic/Group Practice
Enrolled in
UT
Enrollments
2
Group size
42 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20031122000151 UT Part B Supplier - Clinic/Group Practice 1407947005
O20100930003598 UT DME Supplier - Physician - Family Practice 1265513964

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 57

Clinicians who reassign their Medicare benefits to this group (57) or whom Care Compare lists as members (42).

Sources for this page