All Medicaid billing entities listing MCCLELLAN, VICKI (CHIEF EXECUTIVE OFFICER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Idaho | 1 | $3K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC. | BONNERS FERRY, ID | Federally Qualified Health Center (FQHC) | $3K |