TETON COUNTY HOSPITAL DISTRICT
NPI: 1952823783
· JACKSON, WY 83001
· Community/Retail Pharmacy
· NPI assigned 07/13/2017
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | LANE, ALISA (DIRECTOR OF FINANCE) |
| Parent Organization | TETON COUNTY HOSPITAL DISTRICT |
| NPI Enumeration Date | 07/13/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
42 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90662 |
|
21 |
21 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
21 |
21 |
$0.00 |