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WINONA STATE UNIVERSITY STUDENT HEALTH SERVICES
WINONA STATE UNIVERSITY STUDENT HEALTH SERVICES
NPI: 1700906633
· WINONA, MN 55987
· Student Health Clinic/Center
· NPI assigned 04/02/2007
$137.71
Total Medicaid Paid
Provider Details
| Authorized Official | PALM, DIANE (DIRECTOR OF STUDENT HEALTH SERVICES) |
| NPI Enumeration Date | 04/02/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
12 |
$137.71 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$137.71 |