Statements: Hudson, Althea

Canonical ID: us-mednd-c27139589aac4999137fd01daefcb18f4ba16e16 · Entity type: LegalEntity (reference)

PropertyValueLangSource datasetSource IDFirst seen
LegalEntity:address130 1st Ave SE Apt 6 Dickinson, ND 58601us_nd_med_exclusionsus-mednd-c27139589aac4999137fd01daefcb18f4ba16e16
LegalEntity:countryusus_nd_med_exclusionsus-mednd-c27139589aac4999137fd01daefcb18f4ba16e16
LegalEntity:descriptionMedicaid Provider ID: 1481163us_nd_med_exclusionsus-mednd-c27139589aac4999137fd01daefcb18f4ba16e16
LegalEntity:id0129e657e0c21ccbd283af2acfddcf26276b9e51us_nd_med_exclusionsus-mednd-c27139589aac4999137fd01daefcb18f4ba16e16
LegalEntity:nameHudson, Altheaus_nd_med_exclusionsus-mednd-c27139589aac4999137fd01daefcb18f4ba16e16
LegalEntity:npiCode1982203501us_nd_med_exclusionsus-mednd-c27139589aac4999137fd01daefcb18f4ba16e16
LegalEntity:sectorQualified Service Providerus_nd_med_exclusionsus-mednd-c27139589aac4999137fd01daefcb18f4ba16e16
LegalEntity:topicsdebarmentus_nd_med_exclusionsus-mednd-c27139589aac4999137fd01daefcb18f4ba16e16
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