Type | Company | [sources] | |||
---|---|---|---|---|---|
Name | Sutton Int & Phy Med Clinic | [sources] | |||
Incorporation date | not available | [sources] | |||
Jurisdiction | not available | [sources] | |||
Country | United States of America | [sources] | |||
Description | Provider ID: 2948467 | [sources] | |||
NPI | 1386726214 | [sources] | |||
Registration number | not available | [sources] | |||
Sector | 21 - Professional Medical Group | [sources] | |||
Address | 1250 Youngstown Warren Rd, #1A, Niles, OH 44446 | [sources] | |||
Last change | Last processed | First seen |
Medical providers excluded or suspended from Ohio's Medicaid program.
United States of America · ODM
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Sanctions | |||||
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Country | Authority | Program | Start date | End date | |
United States of America | Ohio Department of Medicaid | - |
Address | ||
---|---|---|
Full address | Country | |
1250 Youngstown Warren Rd, #1A, Niles, OH 44446 | United States of America |