Frederick Marquez

Individual provider Active NPI Case Management Agency · Scottsbluff, NE

NPI 1013378199 · NPPES record last updated Mar 16, 2016

Key facts

NPI
1013378199
Entity type
Individual (NPI type 1)
Primary specialty
Case Management Agency 251B00000X
Practice address
1509 1St Ave
Scottsbluff, NE 69361-3106
Phone
(308) 635-1488
Fax
(308) 635-7880
NPI assigned
Mar 16, 2016
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Cirrus House Inc. Past
since Sep 15, 2024
Accepting new patients
Cirrus House, Inc. Case Management Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Yes

Addresses

Primary practice location

1509 1St Ave
Scottsbluff, NE 69361-3106

Mailing address

1509 1St Ave
Scottsbluff, NE 69361-3106
Phone (308) 635-1488

Other providers in Scottsbluff, NE

All providers in Scottsbluff, NE · Case Management Agency in Nebraska

Sources for this page

Verify at the official NPI Registry.