NPI: 1326707498 · POCATELLO, ID 83201 · Non-emergency Medical Transport (VAN) · NPI assigned 12/15/2021
| Authorized Official | REDD, JESSIE (CFO) |
| NPI Enumeration Date | 12/15/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 300 | $7K |
| 2024 | 490 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A0100 | Non-emergency transportation; taxi | 790 | 155 | $17K |