NPIMap

Organization Active NPI

G Street Integrated Health

  • Clinic/Center
  • Springfield, OR
National Provider Identifier
1013546985
Registry record updated Apr 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
G STREET INTEGRATED HEALTH
Practice address
1435 G St
Springfield, OR 97477-4113
Phone
(541) 735-9420
Fax
(541) 747-9420
NPI assigned
Apr 3, 2020
Last updated
Apr 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Ocker
Title
Executive Director
Phone
(541) 735-9421

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Urgent Care Clinic/Center 261QU0200X NU

Addresses

Primary practice location

1435 G St
Springfield, OR 97477-4113

Mailing address

PO Box 163
Springfield, OR 97477-0024
Phone (541) 735-9420

National Provider Directory

National Provider Directory
Tax ID family
G Street Integrated Health5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCHIBD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619308800000",
    "number": "1013546985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974770024",
            "telephone_number": "541-735-9420",
            "fax_number": "541-747-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 G ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774113",
            "telephone_number": "541-735-9420",
            "fax_number": "541-747-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G STREET INTEGRATED HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2021-04-25",
        "certification_date": "2021-04-25",
        "status": "A",
        "authorized_official_last_name": "OCKER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-735-9421"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.