Organization Active NPI

Choice Medical and Geriatric Care Inc

  • Family Nurse Practitioner
  • Stanfield, OR
National Provider Identifier
1891150496
Registry record updated Jan 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CHOICE MEDICAL AND GERIATRIC CARE INC
Practice address
170 S Main St
Stanfield, OR 97875-2072
Phone
(778) 864-8482
Fax
(470) 377-8102
NPI assigned
Dec 23, 2015
Last updated
Jan 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2019

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

Authorized official

Name
Jueth Atigbi-Hansen, NP
Title
Owner
Phone
(631) 965-2130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

170 S Main St
Stanfield, OR 97875-2072

Mailing address

242 E Main St
Hermiston, OR 97838-1840
Phone (877) 864-8482

National Provider Directory

National Provider Directory

Locations

464 W 3rd St
Ste 111
Jackson, GA 30233
Phone (770) 415-1077

242 E Main St
Hermiston, OR 97838

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546646400000",
    "number": "1891150496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 E MAIN ST",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978381840",
            "telephone_number": "877-864-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 S MAIN ST",
            "city": "STANFIELD",
            "state": "OR",
            "postal_code": "978752072",
            "telephone_number": "778-864-8482",
            "fax_number": "470-377-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE MEDICAL AND GERIATRIC CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2019-01-05",
        "status": "A",
        "authorized_official_last_name": "ATIGBI-HANSEN",
        "authorized_official_first_name": "JUETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-965-2130",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanfield, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2019; 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.