COUNTY OF MELLETTE
NPI: 1346386117
· WHITE RIVER, SD 57579
· Ambulance
· NPI assigned 01/29/2007
Deactivated NPI
· This NPI was deactivated on 07/17/2007. Reactivated 09/11/2007.
$908.36
Total Medicaid Paid
Provider Details
| Authorized Official | O'BRIEN, KAREN (DIRECTOR) |
| NPI Enumeration Date | 01/29/2007 |
Related Entities
Other providers sharing the same authorized official: O'BRIEN, KAREN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
15 |
$908.36 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
15 |
15 |
$908.36 |