Nov 30, 2025Established date
Non-DME Part BClinic/Group Practice · O20190109002080
Providence Medical InstituteOR · NPI 1760425862
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Non-DME Part BClinic/Group Practice · O20190124003192
Providence Medical InstituteAK · NPI 1760425862
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Providence Medical InstituteWA · NPI 1760425862
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Non-DME Part BClinic/Group Practice · O20190729003298
Providence Medical InstituteFL · NPI 1760425862
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Non-DME Part BClinic/Group Practice · O20190903003192
Providence Medical InstituteMI · NPI 1760425862
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Providence Medical InstituteMT · NPI 1760425862
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Providence Medical InstituteNV · NPI 1760425862
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Providence Medical InstituteHI · NPI 1760425862
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Providence Medical InstituteCA · NPI 1760425862
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Non-DME Part BClinic/Group Practice · O20190219001714
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Non-DME Part BClinic/Group Practice · O20190225001700
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Non-DME Part BClinic/Group Practice · O20200507001918
Providence Medical InstituteNC · NPI 1760425862
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Non-DME Part BClinic/Group Practice · O20201201001896
Providence Medical InstituteTN · NPI 1760425862
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Non-DME Part BClinic/Group Practice · O20210428001317
Providence Medical InstituteNY · NPI 1760425862
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Non-DME Part BClinic/Group Practice · O20211215002743
Providence Medical InstituteDC · NPI 1760425862
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Non-DME Part BClinic/Group Practice · O20220202002590
Providence Medical InstituteID · NPI 1760425862
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Non-DME Part BClinic/Group Practice · O20231023003209
Providence Medical InstituteAZ · NPI 1760425862
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Non-DME Part BClinic/Group Practice · O20241127000870
Providence Medical InstituteWI · NPI 1760425862
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Non-DME Part BClinic/Group Practice · O20250108000441
Providence Medical InstituteNE · NPI 1760425862
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Non-DME Part BClinic/Group Practice · O20250909003220
Providence Medical InstituteUT · NPI 1760425862
A blank due date means CMS has not established a revalidation due date for that enrollment in the current public list. A public due date is not confirmation that a revalidation was submitted, received, accepted, or completed. Use PECOS and the responsible enrollment contractor for official submission and case status. Source revision df56c39b5841c848fecb343f7a9738e7afb4d098.