CHINOOK HEALTH
NPI: 1972260339
· LOUISVILLE, CO 80027
· Community/Retail Pharmacy
· NPI assigned 11/19/2021
$526.63
Total Medicaid Paid
Provider Details
| Authorized Official | COOPER, JULIE (PRESIDENT/OWNER) |
| NPI Enumeration Date | 11/19/2021 |
Related Entities
Other providers sharing the same authorized official: COOPER, JULIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
32 |
$526.63 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$269.75 |
| 90686 |
|
16 |
16 |
$256.88 |