Canonical ID: us-mednd-71465ad1d81fa1375ee73926744323c9426fbfca · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
| LegalEntity:address | 721 Memorial Hwy Ste 4 Bismarck, ND 58504-5398 | eng | us_nd_med_exclusions | us-mednd-71465ad1d81fa1375ee73926744323c9426fbfca | |||
| LegalEntity:country | us | eng | us_nd_med_exclusions | us-mednd-71465ad1d81fa1375ee73926744323c9426fbfca | |||
| LegalEntity:description | Medicaid Provider ID: 1464688 | eng | us_nd_med_exclusions | us-mednd-71465ad1d81fa1375ee73926744323c9426fbfca | |||
| LegalEntity:id | 8723e48ffd2a804dc3a21930d15b8121de9920cb | eng | 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 | eng | us_nd_med_exclusions | us-mednd-71465ad1d81fa1375ee73926744323c9426fbfca | |||