Canonical ID: us-mednd-ef404d7c0a90c6d72b553d5a42fbfd48bbb690c0 · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:address | 9742 Hwy 30 Rolla, ND 58337 | eng | us_nd_med_exclusions | us-mednd-ef404d7c0a90c6d72b553d5a42fbfd48bbb690c0 | |||
LegalEntity:country | us | eng | us_nd_med_exclusions | us-mednd-ef404d7c0a90c6d72b553d5a42fbfd48bbb690c0 | |||
LegalEntity:description | Medicaid Provider ID: 1462942 | eng | us_nd_med_exclusions | us-mednd-ef404d7c0a90c6d72b553d5a42fbfd48bbb690c0 | |||
LegalEntity:id | 95c6a7837a26aed9f1b3ab8aeb9fe2a41f1518e3 | eng | us_nd_med_exclusions | us-mednd-ef404d7c0a90c6d72b553d5a42fbfd48bbb690c0 | |||
LegalEntity:name | St. Claire, Adrienne | eng | us_nd_med_exclusions | us-mednd-ef404d7c0a90c6d72b553d5a42fbfd48bbb690c0 | |||
LegalEntity:sector | Qualified Service Provider | eng | us_nd_med_exclusions | us-mednd-ef404d7c0a90c6d72b553d5a42fbfd48bbb690c0 | |||
LegalEntity:topics | debarment | eng | us_nd_med_exclusions | us-mednd-ef404d7c0a90c6d72b553d5a42fbfd48bbb690c0 | |||