Unknown Individual – Case Manager/Care Coordinator, NPI 1104057124

Unknown Individual is a healthcare provider. based in Albany, Oregon. specializing in Case Manager/Care Coordinator. The NPI Number for Unknown Individual is 1104057124

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104057124
Phone
(541) 967-3866
Address
445 3RD AVE SW
Deactivation Date
6 July 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience10
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 445, 3rd Avenue Southwest, Albany historic districts, Albany, Linn County, Oregon, 97321, United States

    ALBANY, OR 973212272

    Phone: (541) 967-3866

    Fax: (541) 926-6271

    Type: Mailing

  • 2970 KELE ST

    LIHUE, HI 967661823

    Phone: (808) 589-1829

    Fax: (808) 589-2610

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97321)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1104057124.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Case Manager/Care Coordinator. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Albany, Oregon as a primary anchor for Unknown Individual unless the record lists multiple sites.
Why does Unknown Individual have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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