MINIDOKA MEMORIAL HOSPITAL
NPI: 1023052040
· RUPERT, ID 83350
· Skilled Nursing Facility
· NPI assigned 06/16/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | MURPHY, THOMAS (ADMINISTRATOR) |
| Parent Organization | MINIDOKA MEMORIAL HOSPITAL |
| NPI Enumeration Date | 06/16/2006 |
Related Entities
Other providers sharing the same authorized official: MURPHY, THOMAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
38 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Administration of influenza virus vaccine |
20 |
20 |
$0.00 |
| 90653 |
|
18 |
18 |
$0.00 |