TERMINAL · ENTITY CARD · ORGANIZATION

PHELPS COUNTY REGIONAL MEDICAL CENTER

Canonical entity in the resolved graph · MO · methodology entity-graph/v1 · 889d457a-738f-42e6-bd06-2e41ebb23ea6

active

Cross-source identifiers

Every current identifier attachment, with the link method and confidence carried verbatim — deterministic links are 1.000; probabilistic links surface their real matcher confidence, never rounded up.

Current identifier attachments with link confidence
Scheme	Value	Source table	Link method	Confidence	Since	Provenance
npi	1578559076	nppes_providers	deterministic_pk	1.000	2026-06-10	evidence recorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1578559076","entity_type_code":"2"}
pecos_enrlmt_id	O20080110000063	pecos_providers	exact_npi_in_pecos	1.000	2026-06-16	evidence recorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1578559076","rule":"D-PECOS","enrlmt_id":"O20080110000063"}

Graph edges

One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.

Current 1-hop graph edges
Relationship	Entity	Confidence	Source table	Provenance
← owns	OWNER PAC 0042718751	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/23/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0042718751","source_pk":60957,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	LIFEPOINT REHABILITATION SERVICES, LLC (TN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0244140317","source_pk":60958,"type_owner":"O","enrollment_id":"O20080110000063","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 0244738946	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/23/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0244738946","source_pk":60960,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 0244738953	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/23/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0244738953","source_pk":60961,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 0345748059	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0345748059","source_pk":60962,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	PHELPS COUNTY CLERK (MO)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"06/30/1988","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"0446292700","source_pk":60963,"type_owner":"O","enrollment_id":"O20080110000063","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	BEN TIPTON	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/15/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0446793913","source_pk":60965,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 0648778357	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0648778357","source_pk":60968,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 0749788453	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0749788453","source_pk":60969,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	LIFEPOINT REHAB BLOCKER LLC (TN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0840683843","source_pk":60970,"type_owner":"O","enrollment_id":"O20080110000063","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 0840798559	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/04/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0840798559","source_pk":60972,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	JASON SHENEFIELD	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"07/21/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0941605166","source_pk":60973,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 1254839954	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/23/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1254839954","source_pk":60976,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 1254839970	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/07/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1254839970","source_pk":60977,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	RICHARD ELGIN	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"06/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1456798974","source_pk":60978,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	KIMBERLEY BRUNO	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"08/26/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1557747243","source_pk":60981,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 1759889462	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1759889462","source_pk":60983,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	REHABCARE GROUP MANAGEMENT SERVICES (TN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951361724","source_pk":60984,"type_owner":"O","enrollment_id":"O20080110000063","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 2567960271	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2567960271","source_pk":60986,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	LIFEPOINT REHAB LLC (TN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2668865668","source_pk":60987,"type_owner":"O","enrollment_id":"O20080110000063","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	JANA M COOK	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"03/07/2014","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2769780121","source_pk":60989,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 2860990546 (CA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/30/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2860990546","source_pk":60992,"type_owner":"O","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 2961900675	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/23/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2961900675","source_pk":60993,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 3072011782	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3072011782","source_pk":60994,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 3678071388	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/29/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3678071388","source_pk":60995,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	ANTHONY KACZMAREK (MO)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3779688833","source_pk":60996,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	JEFF TAYLOR	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/29/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3870091598","source_pk":60999,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 3971001660 (MO)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/17/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3971001660","source_pk":61000,"type_owner":"O","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	JANECE MARTIN	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/15/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4082082755","source_pk":61001,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 4385142090	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4385142090","source_pk":61004,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	GERARDO ISMAEL GUECO (MO)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4587801311","source_pk":61005,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	ASSOCIATION FOR PROFESSIONALS IN INFECTION CONTROL & EPIDEMIOLOGY, (VA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/23/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4880192566","source_pk":61007,"type_owner":"O","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	LIFEPOINT HEALTH INC (TN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4880725506","source_pk":61008,"type_owner":"O","enrollment_id":"O20080110000063","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 4981102605	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/07/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4981102605","source_pk":61010,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 4981102688	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/23/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4981102688","source_pk":61011,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 5395243000	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5395243000","source_pk":61012,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	MEDICAL SOLUTIONS (NE)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/18/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5496253189","source_pk":61013,"type_owner":"O","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 5597263285 (IL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/17/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5597263285","source_pk":61014,"type_owner":"O","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 5698273308	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/23/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5698273308","source_pk":61015,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 6103324819	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6103324819","source_pk":61016,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 6305344011	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"08/23/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6305344011","source_pk":61017,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	DAN POLLOCK	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/29/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6608374327","source_pk":61018,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	MEDICAL SOLUTIONS BUYER, LLC (NE)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/07/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6608374392","source_pk":61019,"type_owner":"O","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 6709384415	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6709384415","source_pk":61020,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 6901304690 (CA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/05/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6901304690","source_pk":61021,"type_owner":"O","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	STEVE BELCHER	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/29/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7113425810","source_pk":61022,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 7214435908 (IL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/17/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7214435908","source_pk":61023,"type_owner":"O","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 7214435924	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/23/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7214435924","source_pk":61024,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	AYA HEALTHCARE, INC. (CA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/27/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7315483914","source_pk":61025,"type_owner":"O","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 7517465214	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/23/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7517465214","source_pk":61026,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 7810495504 (MO)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/05/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7810495504","source_pk":61027,"type_owner":"O","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 8325546013 (VA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/03/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8325546013","source_pk":61028,"type_owner":"O","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	ADVANTIS MEDICAL (TX)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/27/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8426556119","source_pk":61029,"type_owner":"O","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 8426556135	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/23/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8426556135","source_pk":61030,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 8921506635	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8921506635","source_pk":61031,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 9032617725 (IL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/18/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032617725","source_pk":61032,"type_owner":"O","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	BRYAN BARBER	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/29/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032617733","source_pk":61033,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 9335647056	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/07/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9335647056","source_pk":61034,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	OWNER PAC 9436657152	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9436657152","source_pk":61035,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	ANNIE BASS	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9931100278","source_pk":61036,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	KERI HEAVIN	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2016","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9931407301","source_pk":61039,"type_owner":"I","enrollment_id":"O20080110000063","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}
← owns	LIFEPOINT REHAB BLOCKER PARENT LLC (TN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9931592938","source_pk":61042,"type_owner":"O","enrollment_id":"O20080110000063","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER"}

Current record

Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.

org · 1578559076 JSON

Current claims for org 1578559076
Metric	Value	Asserted	Source
dba_name	<UNAVAIL>	2026-06-10	Centers for Medicare & Medicaid Services NPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… Upstream source claim API: JSON
enumeration_date	2005-09-21	2026-06-10	Centers for Medicare & Medicaid Services NPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… Upstream source claim API: JSON
legal_business_name	PHELPS COUNTY REGIONAL MEDICAL CENTER	2026-06-10	Centers for Medicare & Medicaid Services NPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… Upstream source claim API: JSON
parent_org_lbn	PHELPS COUNTY REGIONAL MEDICAL CENTER	2026-06-10	Centers for Medicare & Medicaid Services NPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… Upstream source claim API: JSON
practice_state	MO	2026-06-10	Centers for Medicare & Medicaid Services NPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… Upstream source claim API: JSON
primary_taxonomy	314000000X	2026-06-10	Centers for Medicare & Medicaid Services NPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… Upstream source claim API: JSON

Provider screening signals

NPI-keyed source families read directly for 1578559076: federal and state integrity lists, CMS Open Payments, Order and Referring eligibility, Medicare opt-out, and enrollment revalidation. Cells expose the source and provenance fields supplied by the selected record. A screening aid — re-confirm any match against the primary source before acting; absence means nothing on file in the data Fonteum currently holds, never a guarantee none exists.

Sanctions & integrity

Coverage stale

Exclusion coverage is stale or cannot be reconciled to an attested source artifact. This result is indeterminate and must not be treated as a clearance; check the current issuing-agency lists.

Coverage status: indeterminate
Screened 26 integrity lists; no negative determination was made.

Source:OIG LEIE +25 moreChecked 2026-09-20

14-tuple provenance (26)

OIG LEIE

source: HHS Office of Inspector General (LEIE)

dataset_id: oig-leie

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: 1977-10-25

coverage_end: ongoing

slsa_provenance_url: —

upstream source

SAM.gov Exclusions

source: U.S. General Services Administration (GSA), System for Award Management (SAM.gov)

dataset_id: sam-gov-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: 2012-07-30

coverage_end: ongoing

slsa_provenance_url: —

upstream source

NY Medicaid (OMIG)

source: NY Office of the Medicaid Inspector General (OMIG)

dataset_id: ny-omig-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: NY-OMIG-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

OH Medicaid (ODM)

source: Ohio Department of Medicaid (ODM)

dataset_id: oh-odm-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: OH-ODM-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

GA Medicaid (DCH OIG)

source: Georgia DCH Office of Inspector General

dataset_id: ga-dch-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: GA-DCH-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

PA Medicaid (Medicheck)

source: Pennsylvania Department of Human Services (DHS)

dataset_id: pa-dhs-medicheck

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: PA-DHS-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

NC Medicaid (DHHS)

source: NC DHHS, Division of Health Benefits (NC Medicaid)

dataset_id: nc-dhhs-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: NC-DHHS-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

MD Medicaid

source: Maryland Department of Health (MDH)

dataset_id: md-mdh-sanctioned

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: MD-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

WA Medicaid

source: Washington State Health Care Authority (HCA)

dataset_id: wa-hca-termination-exclusion

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: WA-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

IA Medicaid

source: Iowa Health and Human Services (Iowa Medicaid)

dataset_id: ia-medicaid-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: IA-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

MS Medicaid

source: Mississippi Division of Medicaid (DOM)

dataset_id: ms-dom-sanctioned

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: MS-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

MT Medicaid

source: Montana Department of Public Health and Human Services (DPHHS)

dataset_id: mt-dphhs-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: MT-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

CO Medicaid

source: Colorado Department of Health Care Policy & Financing (HCPF)

dataset_id: co-hcpf-terminations

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: CO-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

IN Medicaid

source: Indiana FSSA, Office of Medicaid Policy and Planning (OMPP)

dataset_id: in-ompp-terminations

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: IN-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

KS Medicaid

source: Kansas Department of Health and Environment, Division of Health Care Finance (KDHE-DHCF)

dataset_id: ks-kmap-terminations

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: KS-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

KY Medicaid

source: Kentucky CHFS, Department for Medicaid Services (DMS)

dataset_id: ky-dms-terminations

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: KY-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

NH Medicaid

source: New Hampshire Department of Health and Human Services (DHHS)

dataset_id: nh-dhhs-sanctions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: NH-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

ND Medicaid

source: North Dakota Health and Human Services (HHS), Medicaid Program Integrity

dataset_id: nd-hhs-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: ND-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

TN Medicaid

source: Tennessee TennCare, Office of Program Integrity

dataset_id: tn-tenncare-terminated

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: TN-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

MI Medicaid

source: Michigan Department of Health and Human Services (MDHHS), Medicaid Program Integrity

dataset_id: mi-mdhhs-sanctions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: MI-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

LA Medicaid

source: Louisiana Department of Health (LDH), Program Integrity

dataset_id: la-ldh-adverse-actions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: LA-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

SC Medicaid

source: South Carolina Department of Health and Human Services (SCDHHS), Program Integrity

dataset_id: sc-scdhhs-sanctioned

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: SC-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

MA Medicaid

source: Massachusetts MassHealth (EOHHS), Office of Program Integrity

dataset_id: ma-masshealth-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: MA-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

MO Medicaid

source: Missouri Medicaid Audit and Compliance (MMAC), Department of Social Services

dataset_id: mo-mmac-sanctions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: MO-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

OIG CIA

source: HHS Office of Inspector General — Corporate Integrity Agreements

dataset_id: oig-cia

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: not_flagged, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

CMS Penalties

source: Centers for Medicare & Medicaid Services (CMS) — Civil Money Penalties

dataset_id: cms-cmp

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: not_flagged, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

Industry payments

None on file

0 CMS Open Payments records on file for this NPI.

Source:CMS Open PaymentsChecked 2026-09-20

14-tuple provenance (1)

CMS Open Payments

source: CMS Open Payments (Sunshine Act physician payment disclosures)

dataset_id: cms-open-payments

snapshot: —

methodology: open-payments/v1

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: not_present, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: 2013-08-01

coverage_end: ongoing

slsa_provenance_url: —

upstream source

Order & referring eligibility

None on file

No CMS Order and Referring record on file for this NPI.

Source:CMS Order and ReferringChecked 2026-09-20

14-tuple provenance (1)

CMS Order and Referring

source: Centers for Medicare & Medicaid Services (CMS)

dataset_id: cms-order-referring

snapshot: —

methodology: cms-order-referring/v1

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: not_present, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: —

coverage_end: ongoing

slsa_provenance_url: —

upstream source

Medicare opt-out

None on file

No CMS Medicare opt-out affidavit on file for this NPI.

Source:CMS Opt Out AffidavitsChecked 2026-09-20

14-tuple provenance (1)

CMS Opt Out Affidavits

source: Centers for Medicare & Medicaid Services (CMS)

dataset_id: cms-opt-out-affidavits

snapshot: —

methodology: cms-opt-out/v1

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: not_present, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: 1998-01-01

coverage_end: ongoing

slsa_provenance_url: —

upstream source

Revalidation

On file

1 Medicare enrollment record on file.

Due date: TBD upstream — not due within the ensuing six months.

Source:CMS Medicare Revalidation Due Date ListChecked 2026-09-20

14-tuple provenance (1)

CMS Medicare Revalidation Due Date List

source: Centers for Medicare & Medicaid Services (CMS)

dataset_id: cms-revalidation-due-dates

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T17:22:15.170Z

confidence: 1

data_availability: present, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: 2011-03-25

coverage_end: ongoing

slsa_provenance_url: —

upstream source

Point-in-time

Query retained claim coordinates under bitemporal-read/v1. Most facts have no superseded row; dates outside retained coverage may return no prior version, and diffs require both coordinates.

Pick a date to reconstruct, or two dates to diff. Equivalent JSON: /api/v1/history/{subject_type}/{subject_id}?at=… and …/diff?from=…&to=…