Active NPI
Madel Carmen Meza Cortes
- Case Manager/Care Coordinator
- Salem, OR
National Provider Identifier
1790335016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 255 Lancaster Dr NE
Salem, OR 97301-5155 - Phone
- (503) 576-8400
- NPI assigned
- Sep 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
255 Lancaster Dr NE
Salem, OR 97301-5155
Mailing address
255 Lancaster Dr NE
Salem, OR 97301-5155
Phone (503) 576-8400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9891967 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | http://www.yvfwc.com/locations/lancaster-family-health-center-lancaster | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568764800000",
"number": "1790335016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 LANCASTER DR NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973015155",
"telephone_number": "503-576-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 LANCASTER DR NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973015155",
"telephone_number": "503-576-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEZA CORTES",
"first_name": "MADEL",
"middle_name": "CARMEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-18",
"last_updated": "2019-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9891967",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "http://www.yvfwc.com/locations/lancaster-family-health-center-lancaster",
"affiliation": "N",
"endpointDescription": "Lancaster Family Health Center @ Lancaster URL",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "LFHC @ Lancaster Website",
"address_1": "255 Lancaster Dr NE",
"city": "Salem",
"state": "OR",
"country_code": "US",
"postal_code": "973015155",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.