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Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID O20041007000550 resolves to a single NPI record. Open the full profile for complete detail.

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GL
NPI · 1972621753 · Active
Great Lakes Bay Health Centers
Federally Qualified Health Center · Saginaw, Michigan
Active
NPI
1972621753
Enrollment ID
O20041007000550
Taxonomy
261QF0400X
Type
Part A Provider - Federally Qualified Health Center (fqhc)

Medicare enrollment

This provider holds a Medicare enrollment 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

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

  • 0G36111MI· Issued by 0G36111 MEDICARE PAY BILL TO

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.