Kelly Jene Mack in Salem - Case Manager/care Coordinator
Kelly Jene Mack - NPI 1164692455
Kelly Jene Mack is a Case Manager/care Coordinator in Salem, Oregon. Kelly Jene Mack practices all healthcare services and medical treatments related to Case Manager/care Coordinator. The NPI Number for Kelly Jene Mack is 1164692455. The last update date is 2019-07-10.
Kelly Jene Mack's current location address is 3737 Portland Rd Ne, Salem, Oregon. You can contact this provider via phone number 5033902600. The mailing address for Kelly Jene Mack is 3737 Portland Rd Ne, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Jene Mack |
|---|---|
| Address | 3737 Portland Rd Ne, Salem, Oregon |
| Phone Number | 5033902600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | BS, CADCI |
NPI Number Detail
| NPI Number | 1164692455 |
|---|---|
| Provider Enumeration Date | 2008-03-03 |
| Last Updated Date | 2019-07-10 |
Provider Mailing Address Detail
| Address | 3737 Portland Rd Ne |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973010311 |
| Phone Number | 5033902600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Case Manager/care Coordinator |
|---|---|
| Taxonomy | 171M00000X |
|
Definition: A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a pe |
|
Post Comment/ Review Below
What is the unique identifier code issued to Kelly Jene Mack by the Centers for Medicare & Medicaid Services (CMS)?
The Kelly Jene Mack has been assigned the NPI (National Provider Identifier) 1164692455. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Kelly Jene Mack?
The Kelly Jene Mack is situated at 3737 Portland Rd Ne, in the city of Salem, state of OR, with the zip code 973010311.
What is the Kelly Jene Mack's area of specialization and corresponding taxonomy classification?
The Kelly Jene Mack's specialty field is Case Manager/care Coordinator, and it falls under the taxonomy code 171M00000X, which categorizes healthcare providers based on their specialties.
When did the Kelly Jene Mack receive its 1164692455?
The Kelly Jene Mack was issued its 1164692455 on 2008-03-03, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Kelly Jene Mack most recently updated or revised?
The information pertaining to Kelly Jene Mack, including its address, specialty, and other relevant details, was last updated or revised on 2019-07-10.
NPI Number: 1245233451
Address: 262 Danny Thomas Place., Ms 0515, Memphis, TN
NPI Number: 1750384947
Address: Ou Medical Center-750 Ne 13th, Oklahoma City, OK