NPI: 1770536013 · SALLISAW, OK 74955 · Intellectual Disabilities Intermediate Care Facility · NPI assigned 05/18/2006
| Authorized Official | MCGREW, JUSTIN (BUSINESS MANAGEMENT) |
| NPI Enumeration Date | 05/18/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 66 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 66 | 24 | $3K |