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Enrollment ID O20100805000249 resolves to a single NPI record. Open the full profile for complete detail.

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SC
NPI · 1568552958 · Active
St Clare Memorial Hospital, INC
Rural Health Clinic/Center · Mountain, Wisconsin
Active
NPI
1568552958
Enrollment ID
O20100805000249
Taxonomy
261QR1300X
Type
Part A Provider - Rural Health Clinic

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

  • 1316940927WI· Issued by GREMBAN NPI
  • 1689677213WI· Issued by BOLLENBACH NPI
  • 1851477913· Issued by CMH NPI

Medicaid

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.