NPI: 1245224138 · ELIZABETH, IL 61028 · Land Ambulance · NPI assigned 09/07/2005
| Authorized Official | PASCOE, E (COORDINATOR) |
| NPI Enumeration Date | 09/07/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 12 | 12 | $1K |