NPI: 1104171990 · DANVILLE, AR 72833 · Case Management Agency · NPI assigned 07/17/2012
| Authorized Official | SULLIVAN, KIMBERLY (RN OWNER) |
| NPI Enumeration Date | 07/17/2012 |
Other providers sharing the same authorized official: SULLIVAN, KIMBERLY
| Provider | City | State | Total Paid |
|---|---|---|---|
| LOUISVILLE MENTAL HEALTH GROUP | LOUISVILLE | KY | $2.45M |
| INTEGRITY HEALTHCARE LLC | POTEAU | OK | $218K |
| DOCTORS PARK PHARMACY INC | JACKSONVILLE | NC | $756.52 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 113 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1017 | Targeted case management, each 15 minutes | 113 | 24 | $2K |