NPI: 1780709139 · MILLSTADT, IL 62260 · Land Ambulance · NPI assigned 03/21/2007
| Authorized Official | GOETZ, JENNIFER (CHIEF) |
| NPI Enumeration Date | 03/21/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 13 | $1K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 13 | 12 | $1K |