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BETHENA S JACKSON

Debarred entity

BETHENA S JACKSON is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	BETHENA S JACKSON · Jackson, Bethena				[sources]
Birth date	1964-08-05				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
First name	BETHENA				[sources]
Last name	JACKSON				[sources]
Middle name	S				[sources]
NPI	`1518299791` · `1679821227` · `1881930006`				[sources]
Sector	Bus Owner/Exec - Substance Abuse Rehab Facility				[sources]
Unique Entity ID	`E83HE32GMLV5`				[sources]
Position	SUBSTANCE ABUSE REHA (BUS OWNER/EXEC)				[sources]
Address	1526 S 30TH ST, LOUISVILLE, KY 40211 · LOUISVILLE, KY 40211, USA · Louisville, KY 40211				[sources]
Last change	2025-09-12	Last processed	2025-11-03	First seen	2024-05-08

Sanctions
Country	Authority	Program	Start date	End date
United States	Department of Health and Human Services Office of Inspector General		2022-08-18	-

Medical providers excluded from South Carolina's Medicaid program.

United States · SCDHHS

People and companies excluded from Federally funded health care programs

United States · OIG

A database of suppliers who have been excluded from participating in US federal procurement.

United States · GSA

Source data IDs: us-fed-excl-bethena-s-jackson-40211-louisville · us-medsc-2466419c1819a625934142160cdce6ae83416b14

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