OAKLAND INTEGRATED HEALTHCARE NETWORK (NPI# 1700315223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700315223 |
| Entity Type | Organization |
| Organization Name | OAKLAND INTEGRATED HEALTHCARE NETWORK |
| Other Organization Name | PONTIAC HIGH SCHOOL TEEN HEALTH CENTER |
| Practice Address |
1051 Arlene Ave Pontiac MI 48340-2904 |
| Mailing Address |
Po Box 430150 Pontiac MI 48343-0150 |
| Practice Telephone | 2488574732 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Authorized Official Name | DEBRA BRINSON (CEO) |
| Authorized Official Telephone | 5172817149 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pontiac High School Teen Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478579 | Oakland Integrated Healthcare Network | Clinic/Center | 1200 N Telegraph Rd Bldg 34, Pontiac, MI 48341-1032 | 2020-08-20 |
| 1720614530 | Oakland Integrated Healthcare Network | Clinic/Center | 125 W Montcalm St Rm 101, Pontiac, MI 48342-1141 | 2020-03-13 |
| 1407490006 | Oakland Integrated Healthcare Network | Psychologist | 3825 W Walton Blvd, Room B, Waterford, MI 48329-4270 | 2019-11-06 |
| 1487298204 | Oakland Integrated Healthcare Network | Psychologist | 881 Pinecrest Dr Fl 1, Ferndale, MI 48220-2310 | 2019-11-05 |
| 1952945107 | Oakland Integrated Healthcare Network | Psychologist | 2800 Waukegan St Rm 3, Auburn Hills, MI 48326-3261 | 2019-10-31 |
| 1730723982 | Oakland Integrated Healthcare Network | Psychologist | 32000 Shiawassee Rd Rm B, Farmington Hills, MI 48336-3251 | 2019-10-31 |
| 1194376566 | Oakland Integrated Healthcare Network | Clinic/Center | 2253 Dixie Hwy, Waterford, MI 48328-1809 | 2019-09-26 |
| 1205363207 | Oakland Integrated Healthcare Network | Clinic/Center | 1275 N Perry St, Pontiac, MI 48340-3135 | 2017-05-22 |
| 1982131967 | Oakland Integrated Healthcare Network | Clinic/Center | 501 N Cass Lake Rd, Waterford, MI 48328-2307 | 2017-05-22 |
| 1083965065 | Oakland Integrated Healthcare Network | Clinic/Center | 22200 W. Nine Mile Rd, Southfield, MI 48033-6008 | 2012-10-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OAKLAND INTEGRATED HEALTHCARE NETWORK FAMILY MEDICINE CENTER | 461 W Huron St Ste 107, Pontiac, MI 48341-1601 |
| Street Address |
1051 ARLENE AVE |
| City | PONTIAC |
| State | MI |
| Zip Code | 48340-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629141999 | Kelly Everden | Nurse Practitioner | 1051 Arlene Ave, Pontiac, MI 48340-2904 | 2006-11-16 |
| 1538586854 | Aleta Blanche Curry | Counselor | 1051 Arlene Ave, Pontiac, MI 48340-2904 | 2014-03-25 |
| 1245588912 | Frederika Robinson | Nurse Practitioner | 1051 Arlene Ave, Pontiac, MI 48340-2904 | 2012-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851882799 | Maryan Luay Alkhoory | Dentist | 1620 N Perry St # 1, Pontiac, MI 48340 | 2018-05-26 |
| 1669907689 | Jeffrey D Bryant | Social Worker | 1841 N. Perry St, Pontiac, MI 48340 | 2017-04-27 |
| 1750822748 | Star Dental P.C. | Dentist | 775 Baldwin Rd, Suite C, Pontiac, MI 48340 | 2017-03-10 |
| 1609237965 | Stephanie Stephan | Dentist | 1590 Baldwin Ave, Auburn Hills, MI 48340 | 2016-03-15 |
| 1376908921 | Jump Start LLC Maternal Infant Health Program | Exclusive Provider Organization | 1086 Williamson Cir, Pontiac, MI 48340 | 2015-12-28 |
| 1417339532 | Ana Rodriguez | Point of Service | 612 Peacock Ave, Pontiac, MI 48340 | 2015-06-25 |
| 1104223544 | Tammy Fletcher | Registered Nurse | 1841 N Perry, Pontiac, MI 48340 | 2014-12-01 |
| 1558629238 | Oakland Integrated Healthcare Network | Clinic/Center | 816 Joslyn, Pontiac, MI 48340 | 2012-05-01 |
| 1447583398 | Dial A Doc Physicians PC | Pain Medicine | 28 N Saginaw, Chase Building, Pontiac, MI 48340 | 2009-09-10 |
| 1619199171 | Jann E. Trzeciak | Family Medicine | 1915 N Perrt Street, Pontiac, MI 48340 | 2007-05-03 |
| Find all providers in zip 48340 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205363207 | Oakland Integrated Healthcare Network | Clinic/Center | 1275 N Perry St, Pontiac, MI 48340-3135 | 2017-05-22 |
| 1962765529 | Oakland Integrated Healthcare Network | Clinic/Center | 114 Orchard Lake, Pontiac, MI 48341-2244 | 2012-06-19 |
| 1558629238 | Oakland Integrated Healthcare Network | Clinic/Center | 816 Joslyn, Pontiac, MI 48340 | 2012-05-01 |
| 1316214299 | Oakland Integrated Healthcare Network | Clinic/Center | 461 W. Huron, Suite 107, Pontiac, MI 48341-2244 | 2011-11-21 |
| 1265975122 | Oakland Integrated Healthcare Network | Clinic/Center | 196 Cesar E Chavez Ave, Pontiac, MI 48342-1094 | 2016-11-28 |
| 1457711202 | Oakland Integrated Healthcare Network | Clinic/Center | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2016-03-07 |
| 1780601740 | Oakland Primary Health Services, Inc. | Clinic/Center | 46156 Woodward Ave, Suite B, Pontiac, MI 48342-5033 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658244 | Hackley Community Care Center Inc | Clinic/Center | 3113 Pontaluna Rd Ste A, Fruitport, MI 49415-9600 | 2020-10-30 |
| 1760080972 | Hackley Community Care Center Inc | Clinic/Center | 1420 Madison St Ste A, Muskegon, MI 49442-5251 | 2020-10-12 |
| 1831706993 | Family Medical Center of Michigan, Inc | Clinic/Center | 503 Washington St Rm 150, Monroe, MI 48161-1309 | 2020-09-23 |
| 1326654666 | Family Medical Center of Michigan,inc | Clinic/Center | 550 E Main St Ste 1001, Hudson, MI 49247-9535 | 2020-09-22 |
| 1922613975 | Hackley Community Care Center Inc | Clinic/Center | 6245 Syers Rd Ste A, Holton, MI 49425-7557 | 2020-09-15 |
| 1700400389 | Northwest Michigan Health Services, Inc. | Clinic/Center | 300 W Broadway Ave Trlr 1, Scottville, MI 49454-1019 | 2020-05-30 |
| 1679195721 | Family Medical Center of Michigan,inc | Clinic/Center | 2740 Collingwood St Ste 100, Detroit, MI 48206-1473 | 2020-05-12 |
| 1235750571 | Great Lakes Bay Health Centers | Clinic/Center | 2300 Veterans Memorial Pkwy, Saginaw, MI 48601-1268 | 2020-04-28 |
| 1053948265 | Upper Great Lakes Family Health Center | Clinic/Center | 1414 W Fair Ave Ste 242, Marquette, MI 49855-5406 | 2020-03-26 |
| 1568096923 | Grace Health, Inc. | Clinic/Center | 825 Capital Ave Ne, Battle Creek, MI 49017-5605 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.