SAM'S WEST, INC.
NPI: 1003092438
· LAS VEGAS, NV 89113
· Durable Medical Equipment & Medical Supplies
· NPI assigned 01/16/2008
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | LEVINE, LAURA (MGR OF GOVERNMENT CONTRACTING) |
| Parent Organization | WAL-MART STORES INC |
| NPI Enumeration Date | 01/16/2008 |
Related Entities
Other providers sharing the same authorized official: LEVINE, LAURA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
149 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0064A |
|
46 |
46 |
$0.00 |
| 0011A |
|
60 |
59 |
$0.00 |
| 0012A |
|
43 |
43 |
$0.00 |