G STREET INTEGRATED HEALTH


Address: 1435 G St, Springfield, OR 97477-4113
Phone: 5417359420

G STREET INTEGRATED HEALTH (NPI# 1609483049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609483049
Entity Type Organization
Organization Name G STREET INTEGRATED HEALTH
Practice Address 1435 G St
Springfield
OR 97477-4113
Practice Telephone 5417359420
Practice Fax Number 5417479870
Mailing Telephone 5417359420
Mailing Fax Number 5417479870
Enumeration Date 2020-09-29
Last Update Date 2020-09-29
Authorized Official Name JENNIFER OCKER (EXECUTIVE DIRECTOR)
Authorized Official Telephone 5417359421
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1275144305 G Street Integrated Health Community/Behavioral Health 1435 G St, Springfield, OR 97477-4113 2020-08-12
1013546985 G Street Integrated Health Clinic/Center 1435 G St, Springfield, OR 97477-4113 2020-04-03
1730734161 G Street Integrated Health Family Medicine 1435 G St, Springfield, OR 97477-4113 2019-08-02

Other Data Sources

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

Office Location

Street Address 1435 G ST
City SPRINGFIELD
State OR
Zip Code 97477-4113

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396738274 Robb Nels Larsen Orthopaedic Surgery 1435 G St, Springfield, OR 97477-4113 2005-08-26
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
1013546985 G Street Integrated Health Clinic/Center 1435 G St, Springfield, OR 97477-4113 2020-04-03
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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710449327 Kemet Health One LLC Clinic/Center 5413 Backlick Rd Ste A, Springfield, VA 22151-3915 2019-04-02
1295217347 Luna Counseling, LLC Clinic/Center 30 Warder St Ste 165, Springfield, OH 45504-2500 2018-09-05
1710425236 Beaconstar Counseling, LLC Clinic/Center 3032 S Fremont Ave, Suite C200, Springfield, MO 65804-4210 2017-02-03
1689111379 Mindfully Whole Psychotherapy LLC Clinic/Center 4057 W Ildereen St, Springfield, MO 65807-1063 2017-01-19
1902269103 Hillary Lamontagne Therapy, LLC Clinic/Center 520 E Allen St, Springfield, IL 62703-2318 2016-04-04
1619206778 Kathleen Dosby, Ph.d. LLC Clinic/Center 6919 Vancouver Rd, Springfield, VA 22152-3353 2009-12-18
1932369485 'our House' Foundation Clinic/Center 5325 S Maryland Ave, Springfield, MO 65810-2821 2008-06-09
1275199804 Cultivating Wellness Clinic/Center 227 E Sunshine St, Springfield, MO 65807-2652 2019-05-20
1821444753 Burrell, Inc. Clinic/Center 1300 E Bradford Pkwy, Springfield, MO 65804-4264 2016-05-10
1346563285 Michael S. Roath Md Fapa PC Clinic/Center 8322 Traford Ln, Suite D, Springfield, VA 22152-1668 2010-03-06
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Competitor

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City SPRINGFIELD
Zip Code 97477

Improve Information

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Dataset Information

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.

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