NPI: 1790707701 · METAMORA, IL 61548 · Ambulance · NPI assigned 07/25/2006
| Authorized Official | KOURI, EDWARD (TREASURER) |
| NPI Enumeration Date | 07/25/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 18 | $1K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 18 | 14 | $1K |