One provider matched this enrollment ID.
Enrollment ID O20030620000045 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Part A Provider
- O20030620000045HospitalOR
Part B Supplier
- O20031117000153Clinic/Group PracticeOR
Source: CMS PECOS public enrollment file.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- 10051OR· Issued by WA DEPT OF LABOR CLINIC
- CG2504OR· Issued by RAILROAD MEDICARE
- 194078600OR· Issued by US DEPT OF LABOR WC
- 262286OR· Issued by MEDICAID BHS OUTPT
- 3342067OR· Issued by WASHINGTON MEDICAID
- RS0004OR· Issued by PART B MEDICARE PTAN
- 138000400OR· Issued by REGENCE HOSPITAL NUMBER
- 5988OR· Issued by WA DEPT OF LABOR HOSPITAL
- 052000000001OR· Issued by PROVIDENCE HEALTH PLAN
Medicaid
- 193805OR
Source: NPPES public registry.
ReferenceAbout Medicare Enrollment IDs
A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.