Canonical ID: us-mednd-71465ad1d81fa1375ee73926744323c9426fbfca · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:address | 2136 N Washington St Bismarck, ND 58501 | eng | us_nd_med_exclusions | us-mednd-71465ad1d81fa1375ee73926744323c9426fbfca | |||
LegalEntity:country | us | us_nd_med_exclusions | us-mednd-71465ad1d81fa1375ee73926744323c9426fbfca | ||||
LegalEntity:description | Medicaid Provider ID: 1464688 | eng | us_nd_med_exclusions | us-mednd-71465ad1d81fa1375ee73926744323c9426fbfca | |||
LegalEntity:id | eb6e80b34a3c0b9cf0f736d8738c52868a79b00c | us_nd_med_exclusions | us-mednd-71465ad1d81fa1375ee73926744323c9426fbfca | ||||
LegalEntity:name | Nyame, Samuel | eng | us_nd_med_exclusions | us-mednd-71465ad1d81fa1375ee73926744323c9426fbfca | |||
LegalEntity:sector | Qualified Service Provider | eng | us_nd_med_exclusions | us-mednd-71465ad1d81fa1375ee73926744323c9426fbfca | |||
LegalEntity:topics | debarment | us_nd_med_exclusions | us-mednd-71465ad1d81fa1375ee73926744323c9426fbfca | ||||