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Billing entities under HOLUB, JACKIE
Every Medicaid billing NPI that lists HOLUB, JACKIE (managing director) as its authorized official in NPPES: 2 entities in 1 state, paid $182K combined.
28Combined paid$182K
33Billing entities2
24GClaims458
States1
Matched on the name exactly as typed into NPPES. Two different people with the same name will land on the same page.
Box 32 · Location
By state
Box 33 · Billing providers
All entities
| # | Provider | Location | Type | Paid |
|---|---|---|---|---|
| 1 | Shadow Mountain Recovery LLC. | Rio Rancho, NM | Substance Abuse Rehabilitation Facility | $99K |
| 2 | Shadow Mountain LLC. | Taos, NM | Substance Abuse Rehabilitation Facility | $83K |