NPI: 1013779917 · LEWISTON, ID 83501 · Case Management Agency · NPI assigned 01/25/2024
| Authorized Official | WRIGHT, ALLISON (TARGETED SERVICE COORDINATOR) |
| NPI Enumeration Date | 01/25/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 124 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G9002 | Coordinated care fee, maintenance rate | 124 | 46 | $6K |