JACKIE DOUGLAS WOODBURN
Debarred entityBorn 30 Jul 1954 (72 years old),United States. Named in 3 sanctions listings.
Sanctions and listings3
- Effective
- 20 Jul 2022
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128b4
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
- Effective
- 21 Feb 2020; 14 May 2020
Official designation
Michigan Department of Health & Human ServicesUS Michigan Medicaid Sanctioned Provider ListUnited States
Summary Suspension Revoked
- Listed
- 13 Sep 2022
- Effective
- 30 Aug 2022
Reciprocal
OPMUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Debarment or Suspension by the U.S. Office of Personnel Management under the authority of 5 U.S.C. 8902a and implementing regulations at 5 CFR Part 890, Subpart J, excludes health care providers from participation in the Federal Employees Health Benefits Program (FEHBP). Debarred or suspended health care providers are prohibited from receiving payment, directly or indirectly, from FEHBP funds for items or services furnished to an employee, annuitant, family member, or former spouse covered by a federal health benefits plan.
Positions held1
Period not retained
COUNSELOR (IND- LIC HC SERV PRO)
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1306009196 |
Other names1
Also known as1
Addresses3
LISBON, OH 44432
P O BOX 10, #56626-039, LISBON, OH 44432
Port Huron, MI
This page shows the public record as its publishers state it. A name here is not by itself a finding: whether a record refers to a particular person or company is what screening decides. Read the full notice.