All Medicaid billing entities listing CLARK, AMANDA (DIRECTOR OF CREDENTIALING) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Minnesota | 1 | $742K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | MID-RANGE CHEMICAL DEPENDENCY SERVICES | HIBBING, MN | Community/Behavioral Health Agency | $742K |