Canonical ID: us-mednd-c27139589aac4999137fd01daefcb18f4ba16e16 · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:address | 130 1st Ave SE Apt 6 Dickinson, ND 58601 | eng | us_nd_med_exclusions | us-mednd-c27139589aac4999137fd01daefcb18f4ba16e16 | |||
LegalEntity:country | us | eng | us_nd_med_exclusions | us-mednd-c27139589aac4999137fd01daefcb18f4ba16e16 | |||
LegalEntity:description | Medicaid Provider ID: 1481163 | eng | us_nd_med_exclusions | us-mednd-c27139589aac4999137fd01daefcb18f4ba16e16 | |||
LegalEntity:id | 0129e657e0c21ccbd283af2acfddcf26276b9e51 | eng | us_nd_med_exclusions | us-mednd-c27139589aac4999137fd01daefcb18f4ba16e16 | |||
LegalEntity:name | Hudson, Althea | eng | us_nd_med_exclusions | us-mednd-c27139589aac4999137fd01daefcb18f4ba16e16 | |||
LegalEntity:npiCode | 1982203501 | eng | us_nd_med_exclusions | us-mednd-c27139589aac4999137fd01daefcb18f4ba16e16 | |||
LegalEntity:sector | Qualified Service Provider | eng | us_nd_med_exclusions | us-mednd-c27139589aac4999137fd01daefcb18f4ba16e16 | |||
LegalEntity:topics | debarment | eng | us_nd_med_exclusions | us-mednd-c27139589aac4999137fd01daefcb18f4ba16e16 | |||