NPIMap

Organization Active NPI

Oakland Integrated Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Pontiac, MI
National Provider Identifier
1265975122
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
OAKLAND INTEGRATED HEALTHCARE NETWORK
Practice address
196 Cesar E Chavez Ave
Pontiac, MI 48342-1094
Phone
(248) 724-7434
NPI assigned
Nov 28, 2016
Last updated
Nov 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Authorized official

Name
Deb Brinson
Title
Ceo
Phone
(248) 724-7434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

196 Cesar E Chavez Ave
Pontiac, MI 48342-1094

Mailing address

PO Box 430150
Pontiac, MI 48343-0150

Other names 1

  • OIHN Jump Start Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265975122. Details of each certification follow.

  • CCN 231105 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 231105

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
OIHN JUMP START CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 20, 2017
Last certification
Jan 20, 2017
Ownership / control type
For profit – corporation
Facility address
196 Cesar E Chavez Ave
Pontiac, MI 48342

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1265975122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430150",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483430150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 CESAR E CHAVEZ AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483421094",
            "telephone_number": "248-724-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND INTEGRATED HEALTHCARE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "BRINSON",
        "authorized_official_first_name": "DEB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-724-7434"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OIHN Jump Start Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.