NPI: 1811675564 · SHELLEY, ID 83274 · Land Ambulance · NPI assigned 07/11/2023
| Authorized Official | BARNEY, LYLE (CHIEF) |
| NPI Enumeration Date | 07/11/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 14 | $932.63 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 14 | 14 | $932.63 |