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OAKLAND INTEGRATED HEALTHCARE NETWORK NPI 1003206038

NPI Profile

NPI: 1003206038
Provider Name: OAKLAND INTEGRATED HEALTHCARE NETWORK

Other Name: TEEN HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 23D2096969

Address:
1200 N TELEGRAPH RD
BUILDING 87
PONTIAC, MI
ZIP 48341
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Phone: (248) 724-7435

OAKLAND INTEGRATED HEALTHCARE NETWORK is a federally qualified health center (fqhc) cliniccenter in Pontiac, MI. OAKLAND INTEGRATED HEALTHCARE NETWORK NPI is 1003206038. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Teen Health Center.

The provider's business location address is:

1200 N TELEGRAPH RD
BUILDING 87
PONTIAC, MI
ZIP 48341-032
Phone: (248) 724-7435

The provider's authorized official is Debra Brinson .
The authorized official title is Ceo and has the following contact phone number (248) 724-7600.

The CLIA number assigned to this NPI record is 23D2096969 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2015 and was last updated on 4/24/2017.

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
1103TC2200XPsychologistClinical Child & AdolescentNo
2207QA0000XFamily MedicineAdolescent MedicineNo
3261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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: 5/31/2020

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