NPIMap

Organization Active NPI

Oakland Integrated Healthcare Network

Doing business as Avondale High Empowerment Zone

  • Federally Qualified Health Center (FQHC)
  • Auburn Hills, MI
National Provider Identifier
1952945107
Registry record updated Oct 31, 2019
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
Doing business as
Avondale High Empowerment Zone
Practice address
2800 Waukegan St RM 3
Auburn Hills, MI 48326-3261
Phone
(248) 724-7600
Fax
(248) 724-7447
NPI assigned
Oct 31, 2019
Last updated
Oct 31, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
OAKLAND INTEGRATED HEALTHCARE NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Student Health Clinic/Center 261QS1000X
Clinical Child & Adolescent Psychologist 103TC2200X

Addresses

Primary practice location

2800 Waukegan St RM 3
Auburn Hills, MI 48326-3261

Mailing address

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

Other names 1

  • Avondale High Empowerment Zone Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2228747Oakland Integrated Healthcare Network2800 Waukegan St, Auburn Hills, MI 48326Certificate of waiverJun 29, 2027

National Provider Directory

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

Other organizations with this tax ID 23

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

View all 23

Locations

2800 Waukegan St
Auburn Hills, MI 48326
Phone (248) 537-6187

2800 Waukegan St
Rm 3
Auburn Hills, MI 48326

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1952945107",
    "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",
            "fax_number": "248-724-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 WAUKEGAN ST RM 3",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263261",
            "telephone_number": "248-724-7600",
            "fax_number": "248-724-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND INTEGRATED HEALTHCARE NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OAKLAND INTEGRATED HEALTHCARE NETWORK",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "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": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avondale High Empowerment Zone",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.