Oakland Integrated Healthcare Network
Clinic/Center, Federally Qualified Health Center (FQHC) in Waterford, MI. Organization (NPI-2).
NPI number1982131967
StatusActive
Last updated in NPPESMay 22, 2017
Details
- NPI
- 1982131967
- Entity type
- Organization (NPI-2)
- Legal business name
- Oakland Integrated Healthcare Network
- Organization subpart
- No
- Enumeration date
- May 22, 2017
- Last updated
- May 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Waterford Teen Health Center (Other Name)
Practice location
501 N Cass Lake RdWaterford, MI 48328-2307
Phone 248-857-7432
Mailing address
Po Box 430150Pontiac, MI 48343-0150
Authorized official
Debra Brinson
Ceo
5172817149
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