Type not stated

ADIX, MICHAEL L

Debarred entity

United States. Named in 3 sanctions listings.

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Summary

KMAP Provider Number 201416100A

License number: 2011040029

Sanctions and listings3

  • Effective
    10 Sep 2024

    Official designation

    South Carolina Department of Health and Human ServicesUS South Carolina Excluded ProvidersUnited StatesTerminated for cause

    scdhhs.gov

  • Effective
    9 Jun 2024

    Official designation

    Missouri Medicaid Audit & ComplianceUS Missouri Medicaid Provider TerminationsUnited States

    FRAUD

    mmac.mo.gov

  • Effective
    18 Apr 2023

    Official designation

    Kansas Department of Health and EnvironmentUS Kansas Medicaid Terminated Provider ListUnited States

    Medicare Revocation.

    kdhe.ks.gov

Identifiers1

IdentifierNumber
NPI number1790709111

Other names2

Also known as2

Michael AdixAdix, Michael

Addresses1

  • Murphy, NC 28906

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