# CHRISTINE MARTINEZ INDEPENDENT CASE MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649625401
- **Authorized official:** MRS. CHRISTINE ANN MARTINEZ (CASE MANAGER)
- **Authorized official phone:** (620) 639-4387

## Contact information

- **Practice address:** 3420 BROADWAY AVE, GREAT BEND, KS 67530-3624
- **Practice address phone:** (620) 639-4387
- **Mailing address:** 3420 BROADWAY AVE, GREAT BEND, KS 67530-3624
- **Mailing address phone:** (620) 639-4387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 04/29/2016
- **Last updated:** 04/29/2016