All Medicaid billing entities listing CHARLIE, JIMMIE (CHIEF MEDICAL OFFICER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New Mexico | 1 | $1.45M |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | KEWA PUEBLO HEALTH CORPORATION | SANTO DOMINGO PUEBLO, NM | Clinic/Center | $1.45M |