William C. Earhart Co. third-party administrator SMW100 Active Medical - Cigna PPO EIN 526038494 group BHVAL HLTH; SHRT-TERM RES PER DIEM HCPC 2022 H0018 BHVAL HLTH; SHRT-TERM RES PER DIEM EIN 851581225 55 institutional 1944.63 4100.00 1750093878 1944.85 4100.00 1750093878 2007.47 4100.00 1750093878 RESIDENTIAL TREATMENT - CHEM DEP REV 2022 1002 RESIDENTIAL TREATMENT - CHEM DEP EIN 823795619 55 institutional 2007.47 5495.00 1770060600 RESIDENTIAL TREATMENT-PSYCHIATRIC REV 2022 1001 RESIDENTIAL TREATMENT-PSYCHIATRIC EIN 462170317 56 institutional 2108.65 4900.00 1326808569 4900.00 4900.00 1326808569 EIN 933341000 55 institutional 2039.76 5000.00 1093587685 2039.79 5000.00 1093587685 THERAP PROC 1 AREAS EA 15 MIN; EXERCISES CPT 2022 97110 THERAP PROC 1 AREAS EA 15 MIN; EXERCISES EIN 521572277 11 professional 20.00 GP 25.00 1386857118 2026-04-01