NPI: 1811750458 · BOISE, ID 83706 · Primary Care Clinic/Center · NPI assigned 02/05/2024
| Authorized Official | COLEMAN, JENNIE (OWNER) |
| NPI Enumeration Date | 02/05/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 15 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99215 | Prolong outpt/office vis | 15 | 13 | $2K |