Organization Active NPI

Good News Community Health Center, Inc

  • Primary Care Clinic/Center
  • Portland, OR
National Provider Identifier
1932519659
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GOOD NEWS COMMUNITY HEALTH CENTER, INC
Practice address
18000 SE Stark St
Portland, OR 97233-4828
Phone
(503) 489-0567
NPI assigned
May 2, 2014
Last updated
Oct 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Authorized official

Name
Teresa Annette Hare
Title
Patient Resource Manager
Phone
(503) 345-9816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

18000 SE Stark St
Portland, OR 97233-4828

Mailing address

PO Box 3113
Gresham, OR 97030-0324
Phone (503) 489-0567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141104001848 OR Part B Supplier - Clinic/Group Practice 0547482713 Receives reassigned benefits from 2 practitioners
Practice locations: Portland, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D1068814Good News Community Health Center18000 SE Stark St, Portland, OR 97233Certificate of waiverMay 20, 2027

National Provider Directory

National Provider Directory

Locations

18000 SE Stark St
Portland, OR 97233
Phone (503) 255-4243

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17909/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1932519659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3113",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970300324",
            "telephone_number": "503-489-0567",
            "fax_number": "503-489-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972334828",
            "telephone_number": "503-489-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD NEWS COMMUNITY HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "HARE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "PATIENT RESOURCE MANAGER",
        "authorized_official_telephone_number": "503-345-9816"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.