Canonical ID: us-mednd-1825bc704bc9ee1251931ac0ace22c962a61e218 · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:address | PO Box 20 Bowdon, ND 58418 | eng | us_nd_med_exclusions | us-mednd-1825bc704bc9ee1251931ac0ace22c962a61e218 | |||
LegalEntity:country | us | eng | us_nd_med_exclusions | us-mednd-1825bc704bc9ee1251931ac0ace22c962a61e218 | |||
LegalEntity:description | Medicaid Provider ID: 1487373 | eng | us_nd_med_exclusions | us-mednd-1825bc704bc9ee1251931ac0ace22c962a61e218 | |||
LegalEntity:id | 8d6422ab920bc63c89a8e27ad081cfbbe9a7fa7c | eng | us_nd_med_exclusions | us-mednd-1825bc704bc9ee1251931ac0ace22c962a61e218 | |||
LegalEntity:name | Gonzalez, Angel | eng | us_nd_med_exclusions | us-mednd-1825bc704bc9ee1251931ac0ace22c962a61e218 | |||
LegalEntity:npiCode | 1508444993 | eng | us_nd_med_exclusions | us-mednd-1825bc704bc9ee1251931ac0ace22c962a61e218 | |||
LegalEntity:sector | Qualified Service Provider | eng | us_nd_med_exclusions | us-mednd-1825bc704bc9ee1251931ac0ace22c962a61e218 | |||
LegalEntity:topics | debarment | eng | us_nd_med_exclusions | us-mednd-1825bc704bc9ee1251931ac0ace22c962a61e218 | |||