All Medicaid billing entities listing HANSEN, C.J. (EXECUTIVE DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Utah | 1 | $97K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | ENTERPRISE VALLEY MEDICAL CLINIC, INC. | ENTERPRISE, UT | Federally Qualified Health Center (FQHC) | $97K |