FOREST CLAYTON SR WEBER
Debarred entityBorn 29 Jun 1961 (65 years old),United States. Named in 3 sanctions listings.
Sanctions and listings3
- Effective
- 21 Oct 2015
- Ended
- 21 Oct 2022
Official designation
Iowa Health & Human ServicesUS Iowa Medicaid Terminated Provider ListUnited States
Participation Suspension
Eligible to reapply as published: 2022-10-21
441 IAC 79.2(2)(a)(b)(i)(s)
- Listed
- 22 Dec 2015
- Effective
- 20 Dec 2015
Reciprocal
HHSUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Excluded by the Department of Health and Human Services pursuant to section 1128 or other sections of the Social Security Act from participation in all Federal health care programs (the scope and effect of Federal health care program exclusions is described in 42 C.F.R. section 1001.1901).
- Effective
- 20 Dec 2015
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128a1
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
Positions held1
Period not retained
PERSONAL CARE PROVID (EMPLOYEE - PRIVATE S)
Other names2
Also known as2
Addresses2
1108 4TH STREET, SW, APT 34, ALTOONA, IA 50009
ALTOONA, IA 50009
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