Centrad

Debarred entity

United States. Named in 2 sanctions listings.

Summary

License number: PROMISe #101787957

Sanctions and listings2

Effective
1 Oct 2017
Official designation
Indiana Family and Social Services AdministrationUS Indiana Medicaid Terminated Provider ListUnited States
in.gov
Effective
24 Feb 2017
Official designation
MedicaidUS Delaware Medicaid Sanctioned ProvidersUnited States
REVOCATION Reporting Only-Active-Billing privileges revoked. Recission Letter effective 7/23/21
medicaid.dhss.delaware.gov

Identifiers1

Identifier	Number
NPI number	1346243979

Other names1

Also known as1

Centrad Healthcare, LLC

Addresses1

Naperville, IL

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