NPI: 1801835475 · JACKSON, WY 83001 · Private Vehicle · NPI assigned 06/06/2006
| Authorized Official | WATSON, MITCHELL (CFO) |
| NPI Enumeration Date | 06/06/2006 |
Other providers sharing the same authorized official: WATSON, MITCHELL
| Provider | City | State | Total Paid |
|---|---|---|---|
| TETON COUNTY HOSPITAL DISTRICT | JACKSON | WY | $551K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 26 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 26 | 25 | $1K |