Canonical ID: NK-Zs8h2QfMW9GEFY2VTgq9vr · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
Person:address | 1600 N GRAND AVE, SUITE 230, PUEBLO, CO 810032730 | ext_us_cms_npi | us-npi-1316975501 | ||||
Person:country | us | ext_us_cms_npi | us-npi-1316975501 | ||||
LegalEntity:country | us | us_co_med_exclusions | us-medco-0a446312bc46f48f651ce2ab4121265e93de6ebe | ||||
Person:firstName | JAN | ext_us_cms_npi | us-npi-1316975501 | ||||
Person:id | 3bef2f697229ac4caa6cb918b7ee2496ab9c2f26 | ext_us_cms_npi | us-npi-1316975501 | ||||
LegalEntity:id | 97c265b0706082976b9a84f468ef49b96952f45c | us_co_med_exclusions | us-medco-0a446312bc46f48f651ce2ab4121265e93de6ebe | ||||
Person:lastName | DAVIS | ext_us_cms_npi | us-npi-1316975501 | ||||
Person:middleName | G | ext_us_cms_npi | us-npi-1316975501 | ||||
LegalEntity:name | DAVIS, JAN G | eng | us_co_med_exclusions | us-medco-0a446312bc46f48f651ce2ab4121265e93de6ebe | |||
Person:name | JAN G DAVIS | ext_us_cms_npi | us-npi-1316975501 | ||||
Person:npiCode | 1316975501 | ext_us_cms_npi | us-npi-1316975501 | ||||
LegalEntity:npiCode | 1316975501 | eng | us_co_med_exclusions | us-medco-0a446312bc46f48f651ce2ab4121265e93de6ebe | |||
LegalEntity:topics | debarment | us_co_med_exclusions | us-medco-0a446312bc46f48f651ce2ab4121265e93de6ebe | ||||