William C. Earhart Co. third-party administrator SMW100 Active Medical - Cigna PPO EIN 526038494 group DRUG TESTS DEFINITIVE ABLE TO ID INDIVIDUAL DRUS INCLUDES SPECIMEN VALIDITY PER DAY 8-14 DRUG CLASSES HCPC 2022 G0481 DRUG TESTS DEFINITIVE ABLE TO ID INDIVIDUAL DRUS INCLUDES SPECIMEN VALIDITY PER DAY 8-14 DRUG CLASSES EIN 872063811 81 professional 113.86 2200.00 1912662867 114.17 2200.00 1912662867 116.33 2200.00 1912662867 INTENSIVE OP PSYC SERVICES PER DIEM HCPC 2022 S9480 INTENSIVE OP PSYC SERVICES PER DIEM EIN 852038045 57 institutional 3197.20 3804.00 1053088336 PARTIAL HOSITALIZTION SERVICES 24 HR PER DIEM HCPC 2022 S0201 PARTIAL HOSITALIZTION SERVICES 24 HR PER DIEM EIN 823795619 57 institutional 497.26 3495.00 1770060600 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 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 2026-06-01