1 SapherCheck records found for Person Christina elaine
1. Christina Elaine Jack
| Profile Type | PERSON |
|---|---|
| Name |
CHRISTINA ELAINE JACK
|
| First Name |
CHRISTINA ELAINE
|
| Last Name |
JACK
|
| Country |
UNITED STATES
|
| First Seen | 2024-10-02 |
| Last Seen | 2024-10-24 |
| Last Change | 2024-10-02 |
| Npi Code |
1811565542
|
| Datasets |
US WEST VIRGINIA MEDICAID PROVIDER EXCLUSIONS AND TERMINATIONS
|
| Address |
5341 CLEAR FORK ROAD, DOROTHY, WV 25060
|
| Topics |
DEBARRED ENTITY
|
1 Sanctions
1. Sanction Caption: Sanction| Sanction Caption | Sanction |
|---|---|
| Sanction Datasets |
US West Virginia Medicaid Provider Exclusions and Terminations |
| Sanction First Seen | 2024-10-02 |
| Sanction Last Change | 2024-10-02 |
| Sanction Last Seen | 2024-10-24 |
| Sanction Properties |
Authority:
Medicaid Management Information System Start Date: 2022-07-13 Country: United States Entity: us-medwv-5142d632ac944bac32fc9342d811312eca126054 Provisions: Terminated Indefinitely Reason: OIG Source URL: https://www.wvmmis.com/WV%20Medicaid%20Provider%20SanctionedExclusion/Forms/AllItems.aspx |