G STREET INTEGRATED HEALTH (NPI# 1013546985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013546985 |
Entity Type | Organization |
Organization Name | G STREET INTEGRATED HEALTH |
Practice Address |
1435 G St Springfield OR 97477-4113 |
Mailing Address |
Po Box 163 Springfield OR 97477-0024 |
Practice Telephone | 5417359420 |
Practice Fax Number | 5417479420 |
Mailing Telephone | 5417359420 |
Mailing Fax Number | 5417479870 |
Enumeration Date | 2020-04-03 |
Last Update Date | 2020-04-03 |
Authorized Official Name | JENNIFER OCKER (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 5417359421 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609483049 | G Street Integrated Health | Clinic/Center | 1435 G St, Springfield, OR 97477-4113 | 2020-09-29 |
1275144305 | G Street Integrated Health | Community/Behavioral Health | 1435 G St, Springfield, OR 97477-4113 | 2020-08-12 |
1730734161 | G Street Integrated Health | Family Medicine | 1435 G St, Springfield, OR 97477-4113 | 2019-08-02 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | G STREET INTEGRATED HEALTH | 1435 G St, Springfield, OR 97477-4113 |
Oregon Corporations, Companies and Business Names | G STREET INTEGRATED HEALTH | 1435 G Street, Springfield, OR 97477 |
Street Address |
1435 G ST |
City | SPRINGFIELD |
State | OR |
Zip Code | 97477-4113 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396738274 | Robb Nels Larsen | Orthopaedic Surgery | 1435 G St, Springfield, OR 97477-4113 | 2005-08-26 |
1609483049 | G Street Integrated Health | Clinic/Center | 1435 G St, Springfield, OR 97477-4113 | 2020-09-29 |
1275144305 | G Street Integrated Health | Community/Behavioral Health | 1435 G St, Springfield, OR 97477-4113 | 2020-08-12 |
1205453420 | Sebastian Brunning | Physician Assistant | 1435 G St, Springfield, OR 97477-4113 | 2020-07-03 |
1467000208 | Alexandra Chatterton | Physician Assistant | 1435 G St, Springfield, OR 97477-4113 | 2019-08-26 |
1730734161 | G Street Integrated Health | Family Medicine | 1435 G St, Springfield, OR 97477-4113 | 2019-08-02 |
1689112625 | David Holte | Physical Therapist | 1435 G St, Springfield, OR 97477-4113 | 2017-02-10 |
1144673617 | Ryan Embley | Physical Therapist | 1435 G St, Springfield, OR 97477-4113 | 2016-07-19 |
1073961074 | Madelaine Williams | Physical Therapist | 1435 G St, Springfield, OR 97477-4113 | 2016-05-31 |
1942675707 | David Nowak | Counselor | 1435 G St, Springfield, OR 97477-4113 | 2015-12-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
Find all providers in zip 97477 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245782952 | Occupational Health Centers of Ohio, Pa, Co | Clinic/Center | 825 W Leffel Lane, Springfield, OH 45506 | 2016-10-28 |
1730507286 | Main Line Urgent Care Medical Group PC | Clinic/Center | 103 Baltimore Pike Ste A, Springfield, PA 19064-3733 | 2014-04-02 |
1487099776 | Northcrest Medical Center | Clinic/Center | 520 Northcrest Dr, Springfield, TN 37172-4066 | 2013-05-01 |
1063772002 | Crossroads Urgent Care Pllc | Clinic/Center | 2662 Memorial Boulevard, Springfield, TN 37172-3925 | 2012-05-24 |
1972786119 | American Current Care Pa | Clinic/Center | 1308 N. Glenstone Avenue, Springfield, MO 65802-2130 | 2007-12-11 |
1831156561 | Mhswo Health Ventures, Inc. | Clinic/Center | 2200 N Limestone St, Suite 102, Springfield, OH 45503-2665 | 2006-04-27 |
1326019902 | North Springfield Family Medical Walk In Clinics Inc | Clinic/Center | 2619 N Kansas Expy, Springfield, MO 65803-1114 | 2006-01-31 |
1558927517 | Lester E Cox Medical Centers | Clinic/Center | 1429 W Sunshine St, Springfield, MO 65807-2346 | 2019-05-15 |
1871094052 | Mercy Southern Missouri Ambulatory Services LLC | Clinic/Center | 900 E Battlefield St Ste 124, Springfield, MO 65807-5208 | 2018-02-23 |
1215489067 | Emergency Medicine Solutions LLC Dba Ems Urgent Care | Clinic/Center | 175 Carew St, Springfield, MA 01104-2389 | 2016-10-27 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 97477 |
Please comment or provide details below to improve the information on G STREET INTEGRATED HEALTH.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.