NPIMap

Organization Active NPI

Oakland Integrated Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Pontiac, MI
National Provider Identifier
1316214299
Registry record updated Feb 2, 2023
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
461 W. Huron
Suite 107
Pontiac, MI 48341-2244
Phone
(248) 724-7600
Fax
(248) 724-7447
NPI assigned
Nov 21, 2011
Last updated
Feb 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Mrs. Debra Brinson
Title
Ceo
Phone
(248) 724-7438

Specialties & licenses 1

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

Addresses

Primary practice location

461 W. Huron
Suite 107
Pontiac, MI 48341-2244

Mailing address

P.O. Box 430150
Pontiac, MI 48343
Phone (248) 724-7411

Other names 1

  • OIHN - Family Medicine Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120611000523 MI Part B Supplier - Clinic/Group Practice 9436313004 Receives reassigned benefits from 47 practitioners
8 other NPIs on this enrollment
Practice locations: Pontiac, MI; Waterford, MI; Southfield, MI
O20121213000372 MI Part A Provider - Federally Qualified Health Center (FQHC) 9436313004 Practice locations: Pontiac, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316214299. Details of each certification follow.

Federally qualified health center certification: CCN 231001

Legal name
OAKLAND INTEGRATED HEALTHCARE NETWORK
Doing business as
OIHN FAMILY MEDICINE CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 25, 2013
Last certification
Jan 25, 2013
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 20, 2011 in MI
Enrollment address
461 W Huron St
Ste 107
Pontiac, MI 48341-1601

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

48980 Woodward Ave
Pontiac, MI 48342
Phone (248) 724-7400

3825 W Walton Blvd
Waterford, MI 48329

501 N Cass Lake Rd
Waterford, MI 48328
Phone (248) 857-7432

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Debra Brinson Individual Corporate OfficerCeo Jan 1, 2014
Nikhil K Hemady Individual Corporate OfficerMedical Director Aug 30, 2011
Corporate DirectorMedical Director Aug 30, 2011
W-2 Managing EmployeeMedical Director Aug 30, 2011

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 62

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1316214299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 430150",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48343",
            "telephone_number": "248-724-7411",
            "fax_number": "248-619-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 W. HURON",
            "address_2": "SUITE 107",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483412244",
            "telephone_number": "248-724-7600",
            "fax_number": "248-724-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND INTEGRATED HEALTHCARE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "BRINSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-724-7438",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OIHN - Family Medicine Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "OIHN - Family Medicine Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.