NPI: 1225796303 · GOLCONDA, IL 62938 · Emergency Care Clinic/Center · NPI assigned 12/06/2021
| Authorized Official | LIGHT, ANNE (DIRECTOR/EMT) |
| NPI Enumeration Date | 12/06/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 13 | $627.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 13 | 12 | $627.20 |