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Billing entities under JACK, SHANNON
Every Medicaid billing NPI that lists JACK, SHANNON (executive vice president) as its authorized official in NPPES: 3 entities in 1 state, paid $658K combined.
28Combined paid$658K
33Billing entities3
24GClaims21,483
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 | Indianhead Medical Center Shell Lake, INC | Shell Lake, WI | Critical Access Hospital | $501K |
| 2 | Indianhead Medical Center Shell Lake, INC. | Shell Lake, WI | Rural Health Clinic/Center | $153K |
| 3 | Indianhead Medical Center Shell Lake, INC. | Siren, WI | Primary Care Clinic/Center | $4K |