EL MEDICAL, INC.

Debarred entity

United States. Named in 6 sanctions listings.

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Summary

License number: PROMISe# 102682539

License number: 6587530001

KMAP Provider Number 201090720A

Sanctions and listings6

Effective
30 Apr 2022
Official designation
Louisiana Department of HealthUS Louisiana Department of Health Adverse Actions ListUnited States
CMS Revocation
adverseactions.ldh.la.gov
Effective
24 Feb 2022
Official designation
OIG, Pennsylvania Department of Human servicesUS Delaware Medicaid Sanctioned ProvidersUnited States
Federal and PA indefinite suspension Criminal Conviction
medicaid.dhss.delaware.gov
Effective
24 Feb 2021
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
pa.gov
Effective
24 Feb 2021
Official designation
Kansas Department of Health and EnvironmentUS Kansas Medicaid Terminated Provider ListUnited States
Medicare Revocation.
kdhe.ks.gov
Effective
8 Jul 2022
Official designation
Michigan Department of Health & Human ServicesUS Michigan Medicaid Sanctioned Provider ListUnited States
Termination
michigan.gov
Effective
24 Feb 2021
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
nj.gov

Identifiers3

Identifier	Number
ID number	0206009560
NPI number	1295049815
Tax number	202694325

Other names5

Also known as5

El Medical IncEl Medical Inc.EI Medical, INCEi Medical, Inc.E I Medical, Inc

Addresses4

9105C OWENS DRIVE, MANASSAS PARK, VA 20111
(VA), (VA)
Manassas Park, VA, MI
VA, VA
United States

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