NPI: 1295858744 · BUFFALO, WY 82834 · Public Health or Welfare Agency · NPI assigned 04/09/2007
| Authorized Official | JARVIS, ANN (NURSE MANAGER) |
| NPI Enumeration Date | 04/09/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 14 | $315.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14 | 14 | $315.00 |