| G Street Integrated Health | |
|
87983 Territorial Rd Veneta OR 97487-8775 | |
| (541) 935-6922 | |
| (541) 747-9870 |
| Full Name | G Street Integrated Health |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 87983 Territorial Rd, Veneta, Oregon |
| Authorized Official Name and Position | Jennifer Ocker (CEO) |
| Authorized Official Contact | 5413215960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G Street Integrated Health Po Box 163 Springfield OR 97477-0024 Ph: (541) 735-9420 | G Street Integrated Health 87983 Territorial Rd Veneta OR 97487-8775 Ph: (541) 935-6922 |
| NPI Number | 1285440446 |
|---|---|
| Provider Enumeration Date | 12/03/2024 |
| Last Update Date | 12/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285440446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Icco, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25045 Dunham Avenue, Veneta, OR 97487 Phone: 541-935-2035 | |
Icco, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 87983 Territorial Hwy, Veneta, OR 97487 Phone: 541-935-2200 Fax: 541-998-4571 | |
Icco, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 87983 Territorial Rd, Veneta, OR 97487 Phone: 541-935-2200 Fax: 541-935-6241 |