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Contact Information

OAKLAND INTEGRATED HEALTHCARE NETWORK
3825 W WALTON BLVD
ROOM B
WATERFORD TOWNSHIP, MI48329-4270
 Phone: 248-724-7600
 Fax: 248-724-7447
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Adolescent and Children Mental Health

261QM0855X
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Student Health

261QS1000X
Indicates primary specialty

NPI Profile & details for OAKLAND INTEGRATED HEALTHCARE NETWORK

NPI Number 1407490006
LBN Legal business name OAKLAND INTEGRATED HEALTHCARE NETWORK
Authorized official MELISSA MCQUEEN - (REVENUE CYCLE MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/06/2019
Last updated 11/06/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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