Constance Jean Street in Madras - Ambulatory Care
Constance Jean Street - NPI 1780747592
Constance Jean Street is a Ambulatory Care in Madras, Oregon. Constance Jean Street practices all healthcare services and medical treatments related to Ambulatory Care. The NPI Number for Constance Jean Street is 1780747592. The last update date is 2007-07-08.
Constance Jean Street's current location address is 191 Ne 11th St, Madras, Oregon. You can contact this provider via phone number 5418152378. The mailing address for Constance Jean Street is 191 Ne 11th St, Madras, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Constance Jean Street |
|---|---|
| Address | 191 Ne 11th St, Madras, Oregon |
| Phone Number | 5418152378 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1780747592 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 191 Ne 11th St |
|---|---|
| City | Madras |
| State | Oregon (OR) |
| Post Code | 977411832 |
| Phone Number | 5418152378 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Care |
|---|---|
| Taxonomy | 163Wp2201X |
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Definition: A registered nurse who provides care in outpatient settings. |
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What is the unique 10-digit identification code issued to Constance Jean Street by the Centers for Medicare & Medicaid Services?
The Constance Jean Street has been assigned the NPI (National Provider Identifier) 1780747592 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Constance Jean Street's physical address?
The Constance Jean Street is physically located at 191 Ne 11Th St, in the city of Madras, OR, with the postal code 977411832.
What is the Constance Jean Street's area of specialization and corresponding taxonomy classification?
The Constance Jean Street's specialty field is Ambulatory Care, and it falls under the taxonomy code 163Wp2201X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780747592 to Constance Jean Street?
The Centers for Medicare & Medicaid Services originally issued the 1780747592 to Constance Jean Street on 2006-12-19.
As of what date were the details related to Constance Jean Street most recently updated or revised?
The information pertaining to Constance Jean Street, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.