ALLENDALE COUNTY HOSPITAL BOARD
NPI: 1730280561
· FAIRFAX, SC 29827
· Family Medicine Physician
· NPI assigned 09/26/2006
$131.75
Total Medicaid Paid
Provider Details
| Authorized Official | HIATT, KEN (ADMINISTRATOR) |
| Parent Organization | ALLENDALE COUNTY HOSPITAL |
| NPI Enumeration Date | 09/26/2006 |
Related Entities
Other providers sharing the same authorized official: HIATT, KEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
34 |
$131.75 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99310 |
Prolong nursin fac eval 15m |
34 |
17 |
$131.75 |