| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | Lighthouse Medical LLC · Lighthouse Medical, LLC | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1932382595 | [sources] | |||
| Registration number | not available | [sources] | |||
| Sector | MD | [sources] | |||
| Address | 217 Glenn Street, Suite 400, Cumberland, MD 21502 · Blair, PA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
Medical providers deemed ineligible to participate in Maryland's Medicaid program.
United States · MDH
us-medmd-f47572edb391d94173099863e47b34ea5fd443f3 · us-medpa-ffeeee1d561bade3c84742dc112fcdd6a2a107b7For experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| BLAIR, PA · Blair, PA | United States | |
| Linked from | ||||
|---|---|---|---|---|
| Subject | Role | Start date | End date | |
| JOHNSON JOHN H MD Debarred entity | - | - | - | |
| United States | Maryland Department of Health | - | - |