NPI: 1932218914 · SHOSHONE, ID 83352 · Land Ambulance · NPI assigned 08/30/2006
| Authorized Official | MCCONNELL, CRESLEY (CHAIRMAN) |
| NPI Enumeration Date | 08/30/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $2K |
| 2022 | 15 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 27 | 25 | $5K |