NPI: 1275318883 · LAKE CHARLES, LA 70615 · Secured Medical Transport (VAN) · NPI assigned 08/30/2023
| Authorized Official | PRUDHOMME, QWENTESSA (OWNER) |
| NPI Enumeration Date | 08/30/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 2,336 | $84K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2003 | Non-emergency transportation; encounter/trip | 2,336 | 359 | $84K |