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G STREET INTEGRATED HEALTH NPI 1295450898


NPI Information

NPI: 1295450898
Provider Name: G STREET INTEGRATED HEALTH
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
1601 I ST
SPRINGFIELD, OR
ZIP 97477
Phone: (541) 735-9420
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G STREET INTEGRATED HEALTH is a substance abuse treatment and children substance abuse rehabilitation facility in Springfield, OR. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. G STREET INTEGRATED HEALTH NPI is 1295450898. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1601 I ST
SPRINGFIELD, OR
ZIP 97477-163
Phone: (541) 735-9420
Fax: (541) 747-9870

The provider's authorized official is Jennifer Ocker .
The authorized official title is Ceo and has the following contact phone number (541) 735-9421.

The enumeration date for this NPI number is 10/5/2022 and was last updated on 10/5/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0401XFamily MedicineAddiction MedicineNo
23245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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