NPI: 1639516289 · BARTLETT, TN 38133 · Customized Equipment (DME) · NPI assigned 05/22/2013
| Authorized Official | CLARK, PAUL (CFO) |
| NPI Enumeration Date | 05/22/2013 |
Other providers sharing the same authorized official: CLARK, PAUL
| Provider | City | State | Total Paid |
|---|---|---|---|
| TOWN OF HOPKINTON | HOPKINTON | MA | $73K |
| CLARK ORAL & FACIAL SURGERY | TWIN FALLS | ID | $116.76 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 19 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5165 | Home modifications; per service | 19 | 18 | $44K |