1 SapherCheck records found for Person Creel cornwell
1. Creel Cornwell
| Profile Type | PERSON |
|---|---|
| Name |
CREEL CORNWELL
|
| First Name |
CREEL
|
| Last Name |
CORNWELL
|
| Country |
UNITED STATES
|
| First Seen | 2024-10-02 |
| Last Seen | 2024-10-24 |
| Last Change | 2024-10-02 |
| Npi Code |
1265469472
|
| Datasets |
US WEST VIRGINIA MEDICAID PROVIDER EXCLUSIONS AND TERMINATIONS
|
| Address |
120 MEDICAL PARK DRIVE, SUITE 300, BRIDGEPORT, WV 26330
|
| 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: 2014-12-18 Country: United States Entity: us-medwv-7ac7211627f5a2e57079e2ff7197166d1987a31e Provisions: Excluded Indefinitely Reason: License voluntarily surrendered to WV BOM Source URL: https://www.wvmmis.com/WV%20Medicaid%20Provider%20SanctionedExclusion/Forms/AllItems.aspx |