CARBON MEDICAL SERVICE ASSOCIATION, INCORPORATED – Federally Qualified Health Center (FQHC), NPI 1497717821
Federally Qualified Health Center (FQHC)
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CARBON MEDICAL SERVICE ASSOCIATION, INCORPORATED
305, Center Street, East Jim Thorpe, Jim Thorpe, Carbon County, Pennsylvania, 18229, United States
P. O. BOX 930
EAST CARBON, UT 845200930
Phone: (435) 888-4411
Fax: (435) 888-2270
Type: Mailing
123, Greenhurst Village Drive, Sunnyside, Jamestown, Chautauqua County, New York, 14701, United States
SUNNYSIDE, UT 84539
Phone: (435) 888-4411
Fax: (435) 888-2270
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-12-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-12-31 (159 days ago).
Enrollment records
1
Earliest due date
2025-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20061207000258 | O | Federally Qualified Health Center (Fqhc) | UT | 2025-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84520)
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