SALIDA HOSPITAL DISTRICT
NPI: 1427601848
· SALIDA, CO 81201
· Community/Retail Pharmacy
· NPI assigned 07/24/2019
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | FAGERBERG, LESLEY (VICE PRESIDENT FINANCE) |
| NPI Enumeration Date | 07/24/2019 |
Related Entities
Other providers sharing the same authorized official: FAGERBERG, LESLEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
24 |
$0.00 |
| 2024 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| 90480 |
|
12 |
12 |
$0.00 |
| 91320 |
|
12 |
12 |
$0.00 |