JACKIE G ADAMS — OIG Excluded Provider (EDEN, ID, 1128b5)
JACKIE G ADAMS — OIG Excluded Provider (EDEN, ID, 1128b5) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: JACKIE G ADAMS; Type: Individual; Provider category: PRIVATE CIT/ENTITY.
| Name | JACKIE G ADAMS |
|---|---|
| Type | Individual |
| Provider category | PRIVATE CIT/ENTITY |
| City | EDEN |
| State | ID |
| ZIP | 83325 |
| Exclusion authority | 1128b5 |
| Exclusion reason | Exclusion or suspension under a federal/state health program |
| Exclusion date | 1991-10-16 |
| Source | HHS-OIG LEIE |
$1499/mo
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