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OIG exclusion detail

HAVEN HILLS MEDICAL CLINIC

This page shows an imported LEIE row. Verify details against the official OIG source before acting.

Imported OIG rowOfficial OIG source
NPI
1750469763
Name
HAVEN HILLS MEDICAL CLINIC
Address
1611 LURLYN ROAD, POPLAR BLUFF, MO, 63901
Specialty
CLINIC
Exclusion type
1128b7
Exclusion date
20110718
Reinstatement date
00000000
Waiver
00000000

Source snapshot

Imported: May 05, 2026

Rows: 83,001

Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7

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