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NPI 1508228701ActiveOrganization· Exclusive Provider Organization· Apache Junction, AZ
Exclusive Provider Organization in Apache Junction, Arizona, registered in NPPES in March 2016. The authorized official on file is Shane M. Elson, OWNER, Long Term Care Provider.
Overview
| NPI | 1508228701 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 25, 2016 |
| Last updated in NPPES | Mar 25, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|