NPI: 1679536478 · BLOOMINGTON, IL 61701 · Parenteral & Enteral Nutrition Supplies (DME) · NPI assigned 04/11/2006
| Authorized Official | ROUSEY, CATHERINE (CO-OWNER) |
| NPI Enumeration Date | 04/11/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 44 | $761.43 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| E0562 | Humidifier, heated, used with positive airway pressure device | 44 | 44 | $761.43 |