NPI: 1053492108 · LAKEVIEW, OR 97630 · Land Ambulance · NPI assigned 10/17/2006
| Authorized Official | MUNHALL, ALAN (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 10/17/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 17 | $120.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 17 | 12 | $120.00 |