NPI: 1043213010 · HOLLIS, OK 73550 · Land Ambulance · NPI assigned 05/24/2005
| Authorized Official | WATSON, EDDIE (DIRECTOR) |
| NPI Enumeration Date | 05/24/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 13 | $197.18 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 13 | 12 | $197.18 |