Type | Company | [sources] | |||
---|---|---|---|---|---|
Name | SPINAL DECOMPRESSION · Spinal Decompression, Inc. | [sources] | |||
Incorporation date | not available | [sources] | |||
Jurisdiction | not available | [sources] | |||
Country | United States of America | [sources] | |||
NPI | 1306045901 | [sources] | |||
Registration number | not available | [sources] | |||
Sector | 62-DME | [sources] | |||
Tax Number | 208867694 | [sources] | |||
Address | (MO), (MO) | [sources] | |||
Last change | Last processed | First seen |
Medical providers suspended from Missouri's Medicaid program.
United States of America · MMAC
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
us-medmo-17ba64caaa0aae699c347a48f9bcdc7a723c04f1
· us-medpa-dc07c460114568d85586024d6029573b0fe6bdf0
For experts: raw data explorer
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | Department of Human Services | - |
Address | ||
---|---|---|
Full address | Country | |
(MO), (MO) · -MO, -MO · MO, MO | United States of America |
United States of America | Missouri Medicaid Audit & Compliance | - | - |