NPI: 1154394005 · KENOSHA, WI 53140 · Community Health Clinic/Center · NPI assigned 02/10/2006
| Authorized Official | HERTZBERG, DEBRA (PRESIDENT) |
| NPI Enumeration Date | 02/10/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 17 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 17 | 17 | $0.00 |