G Street Integrated Health

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

G STREET INTEGRATED HEALTH

Practice address

87983 Territorial Rd
Veneta, OR 97487-8775

Phone

(541) 935-6922

Fax

(541) 747-9870

NPI assigned

Dec 3, 2024

Last updated

Dec 3, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

G STREET INTEGRATED HEALTHAs reported in NPPES

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

Authorized official

Name

Jennifer Ocker

Title

Ceo

Phone

(541) 321-5960

Specialties & licenses 1

Addresses

Tax ID family

G Street Integrated Health5 organizations share this tax ID, including this one

Part of

G Street Integrated Health

Other organizations with this tax ID 4

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

• G Street Integrated Health

  • Clinic/Center
  • Springfield, OR
  • NPI 1013546985
  NPD tax ID
• G Street Integrated Health

  • Community/Behavioral Health Agency
  • Springfield, OR
  • NPI 1275144305
  NPD tax ID
• G Street Integrated Health

  dba Kaitlin's House

  • Children's Substance Abuse Rehabilitation Facility
  • Springfield, OR
  • NPI 1295450898
  NPD tax ID
• G Street Integrated Health

  • Adult Mental Health Clinic/Center
  • Springfield, OR
  • NPI 1609483049
  NPD tax ID

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1285440446",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87983 TERRITORIAL RD",
            "city": "VENETA",
            "state": "OR",
            "postal_code": "974878775",
            "telephone_number": "541-935-6922",
            "fax_number": "541-747-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G STREET INTEGRATED HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "G STREET INTEGRATED HEALTH",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "OCKER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-321-5960"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delphina Solutions LLC
• Amanda Dimmen-Klenk, M.S.
• Megan Fairchild, RDH
• Amanda Brooke Force, DPT
• Ryan P Frome, D.V.M.
• Shane Alan Gofourth, D.C.
• Jamie B Grover, L.M.T.
• Renata A Hennell, D.C.
• Joel Allen Henson, RPH
• Dennice Hernandez, ANP

• Rural Health Clinic/Center in Veneta, OR
• Providers in Veneta, OR by specialty
• Rural Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.