| Oihn Jump Start Center | |
|
196 Cesar E Chavez Ave Pontiac MI 48342-1094 | |
| (248) 724-7434 | |
| Not Available |
| Full Name | Oihn Jump Start Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 196 Cesar E Chavez Ave, Pontiac, Michigan |
| Authorized Official Name and Position | Deb Brinson (CEO) |
| Authorized Official Contact | 2487247434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oihn Jump Start Center Po Box 430150 Pontiac MI 48343-0150 | Oihn Jump Start Center 196 Cesar E Chavez Ave Pontiac MI 48342-1094 Ph: (248) 724-7434 |
| NPI Number | 1265975122 |
|---|---|
| Provider Enumeration Date | 11/28/2016 |
| Last Update Date | 11/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265975122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
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