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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Raymond Rushden | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Raymond | [sources] | |||
| Last name | Rushden | [sources] | |||
| NPI | 1255389342 | [sources] | |||
| Address | PO Box 1736, Logan, WV 25601 | [sources] | |||
| Last change | Last processed | First seen | |||
Medicaid providers sanctioned in West Virginia's Medicaid program.
United States · MMIS
us-medwv-e7fe1202438192a72af3ddf26683378121500832 · us-npi-1255389342For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | Medicaid Management Information System | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| PO Box 1736, Logan, WV 25601 | United States | |