PRO MED PROVIDERS LLC

Clinic/Center — Adolescent and Children Mental Health

Code: 261QM0855X

Clinic/Center — Urgent Care

Code: 261QU0200X

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320600000X

Transportation Network Company

Code: 342000000X

Secured Medical Transport (VAN)

Code: 343800000X

Non-emergency Medical Transport (VAN)

Code: 343900000X

Private Vehicle

Code: 347C00000X

Transportation Broker

Code: 347E00000X

Nurse Practitioner

Code: 363L00000X

Clinic/Center — Mental Health (Including Community Mental Health Center)

Code: 261QM0801X

Clinic/Center — Adult Mental Health

Code: 261QM0850X

Emergency Medicine

Code: 207P00000X

Clinic/Center — Community Health

Code: 261QC1500X

Clinic/Center — Health Service

Code: 261QH0100X

Clinic/Center

Code: 261Q00000X