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PROVIDER PROFILE · NPI 1245053826

NPI 1245053826

CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
No data available for this provider in 2024.
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 047080
Home health agency
CCN 047115
Home health agency
CCN 040119
Hospital
CCN 041310
Hospital
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$117
Payment records
3
By payment type
Food and Beverage$117