NPI: 1083002141 · VANCOUVER, WA 98664 · Skilled Nursing Facility · NPI assigned 12/24/2014
| Authorized Official | KEATING, DAVID (AUTHORIZED OFFICIAL) |
| NPI Enumeration Date | 12/24/2014 |
Other providers sharing the same authorized official: KEATING, DAVID
| Provider | City | State | Total Paid |
|---|---|---|---|
| FMG WEST HART ROAD WISCONSIN LLC | BELOIT | WI | $3K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 46 | $89K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 94799 | 46 | 40 | $89K |