Nex Systems
Person

Robert Vandercook

Debarred entity

United States. Named in 2 sanctions listings.

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Summary

License number: PROMISe# 103276703

Sanctions and listings2

  • Effective
    12 Feb 2018

    Official designation

    Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded

    pa.gov

  • Effective
    12 Feb 2018

    Official designation

    Pennsylvania Department of Human servicesUS Delaware Medicaid Sanctioned ProvidersUnited States

    103T00000X, 103TC0700X-Terminated- Reporting Only 101Y00000X-2084P0800X- 2084P0802X -Active-Reporting Only, Preclusion Provider Agreement Terminated in PA.

    medicaid.dhss.delaware.gov

Identifiers2

IdentifierNumber
ID numberPS016986
NPI number1225329493

Addresses1

  • out of state, PA

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