THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
NPI: 1962484022
· DAYTONA BEACH, FL 32114
· Nursing Facility Supplies (DME)
· NPI assigned 11/15/2005
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | VANDEN HULL, ERIC (VP, FINANCE) |
| Parent Organization | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| NPI Enumeration Date | 11/15/2005 |
Related Entities
Other providers sharing the same authorized official: VANDEN HULL, ERIC
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
42 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90662 |
|
21 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
21 |
12 |
$0.00 |