NPI: 1346321502 · MILTON, NH 03851 · Land Ambulance · NPI assigned 10/17/2006
| Authorized Official | MARIQUE, NICHOLAS (CHIEF) |
| NPI Enumeration Date | 10/17/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 17 | $264.00 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 17 | 12 | $264.00 |