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| Issue Date FY: 2019 ( Subtotal = -$2,654 ) |
| 2019 | 2017 | Public Health and Human Services, Montana Department of | 111 N Sanders Street Rm 108 | HELENA | MT | 59601 | LEWIS AND CLARK | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 2 | 1 | 3/1/2019 | NEW | -$2,654 |
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| Issue Date FY: 2017 ( Subtotal = $6,874 ) |
| 2017 | 2017 | Montana | 111 N Sanders Street, Rm 108 | HELENA | MT | 59601 | LEWIS AND CLARK | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 1 | 1 | 10/1/2016 | NEW | $35,193 |
| 2017 | 2016 | Montana | 111 N Sanders Street, Rm 108 | HELENA | MT | 59601 | LEWIS AND CLARK | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 0 | 1 | 2/9/2017 | NEW | -$28,319 |
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