NPI: 1225024581 · OAK GROVE, MO 64075 · Skilled Nursing Facility · NPI assigned 09/22/2005
| Authorized Official | HUDSPETH, THOMAS (COO CFO) |
| NPI Enumeration Date | 09/22/2005 |
Other providers sharing the same authorized official: HUDSPETH, THOMAS
| Provider | City | State | Total Paid |
|---|---|---|---|
| FORSYTH MANOR, INC. | FORSYTH | MO | $12K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 91 | $271.83 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Q3014 | Telehealth originating site facility fee | 91 | 48 | $271.83 |