NPIMap

Organization Active NPI

Oakland Integrated Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Pontiac, MI
National Provider Identifier
1508478579
Registry record updated Mar 9, 2022
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
1200 N Telegraph Rd BLDG 34
Pontiac, MI 48341-1032
Phone
(248) 858-1280
Fax
(248) 858-0178
NPI assigned
Aug 20, 2020
Organization subpart
Yes
Parent organization
OAKLAND INTEGRATED HEALTHCARE NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Melissa McQueen
Title
Revenue Cycle Manager
Phone
(248) 724-7413

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1200 N Telegraph Rd BLDG 34
Pontiac, MI 48341-1032

Mailing address

PO Box 430150
Pontiac, MI 48343-0150
Phone (248) 724-7600

Other names 1

  • North Oakland Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210722003885 MI Part A Provider - Federally Qualified Health Center (FQHC) 9436313004 Practice locations: Pontiac, MI

Federally qualified health center certification: CCN 231171

Legal name
OAKLAND INTEGRATED HEALTHCARE NETWORK
Doing business as
NORTH OAKLAND COUNTY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 21, 2021
Last certification
Jul 21, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 20, 2011 in MI
Enrollment address
1200 N Telegraph Rd
BLDG 34E
Pontiac, MI 48341-1032

Other NPIs with the same Medicare PAC ID 7

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

National Provider Directory

National Provider Directory
Tax ID family
Oakland Integrated Network24 organizations share this tax ID, including this one
Part of
Oakland Integrated Network

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

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
Melissa M McQueen Individual W-2 Managing EmployeeRevenue Cycle Manager Jun 12, 2017
Debra Brinson Individual Corporate OfficerCeo May 20, 2011

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1508478579",
    "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",
            "telephone_number": "248-724-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N TELEGRAPH RD BLDG 34",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411032",
            "telephone_number": "248-858-1280",
            "fax_number": "248-858-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND INTEGRATED HEALTHCARE NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OAKLAND INTEGRATED HEALTHCARE NETWORK",
        "enumeration_date": "2020-08-20",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "MCQUEEN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "248-724-7413"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Oakland Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Oakland Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.