CHIRIE LEDDELLE BAZZELLE — OIG Excluded Provider (BENTON, AR, 1128a1)
CHIRIE LEDDELLE BAZZELLE — OIG Excluded Provider (BENTON, AR, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: CHIRIE LEDDELLE BAZZELLE; Type: Individual; Provider category: BUS OWNER/EXEC.
| Name | CHIRIE LEDDELLE BAZZELLE |
|---|---|
| Type | Individual |
| Provider category | BUS OWNER/EXEC |
| Specialty | MENTAL/BEHAVIORAL HE |
| NPI | 1427393727 |
| City | BENTON |
| State | AR |
| ZIP | 72019 |
| Exclusion authority | 1128a1 |
| Exclusion reason | Conviction of program-related crimes |
| Exclusion date | 2021-05-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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