NPI: 1851136600 · EAGLE, ID 83616 · Case Management Agency · NPI assigned 06/25/2024
| Authorized Official | COPELAND, JODI (OWNER/ADMINISTRATOR) |
| NPI Enumeration Date | 06/25/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 223 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G9002 | Coordinated care fee, maintenance rate | 223 | 79 | $8K |