COUNTRY MANOR CAMPUS LLC
NPI: 1952575011
· SARTELL, MN 56377
· Skilled Nursing Facility
· NPI assigned 04/18/2008
Provider Details
| Authorized Official | HARGUTH, KEVIN (C.F.O.) |
| Parent Organization | THE FOUNDATION FOR HEALTH CARE CONTINUUMS |
| NPI Enumeration Date | 04/18/2008 |
Related Entities
Other providers sharing the same authorized official: HARGUTH, KEVIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$0.00 |
| 2019 |
25 |
$2K |
| 2024 |
28 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
25 |
12 |
$2K |
| 90662 |
|
14 |
14 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
26 |
26 |
$445.16 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
12 |
12 |
$0.00 |