NPI: 1942948211 · RICE LAKE, WI 54868 · Land Ambulance · NPI assigned 05/25/2022
| Authorized Official | HOVER, MIKE (CHIEF) |
| NPI Enumeration Date | 05/25/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 15 | $95.90 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A0390 | Als mileage (per mile) | 15 | 13 | $95.90 |