NPI: 1063910636 · GOLDEN VALLEY, MN 55422 · Durable Medical Equipment & Medical Supplies · NPI assigned 01/29/2018
| Authorized Official | PETERSON, DAWN (DIRECTOR OF OPERATIONS) |
| NPI Enumeration Date | 01/29/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $448.27 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2029 | Specialized medical equipment, not otherwise specified, waiver | 13 | 13 | $448.27 |