All Medicaid billing entities listing SUPPLE, FORREST (AMBULANCE DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Wisconsin | 1 | $21K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | BOYD EDSON DELMAR FD AMBULANCE | BOYD, WI | Ambulance | $21K |