| Ophs | |
|
46156 Woodward Ave Suite B Pontiac MI 48342-5033 | |
| (248) 322-6747 | |
| (248) 322-5787 |
| Full Name | Ophs |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 46156 Woodward Ave, Pontiac, Michigan |
| Authorized Official Name and Position | Sharon Berry (CFO) |
| Authorized Official Contact | 2483226747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ophs 46156 Woodward Ave Suite B Pontiac MI 48342-5033 Ph: (248) 322-6747 | Ophs 46156 Woodward Ave Suite B Pontiac MI 48342-5033 Ph: (248) 322-6747 |
| NPI Number | 1780601740 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 07/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780601740 | NPI | - | NPPES |
| 104632453 | Medicaid | MI | |
| 700F300860 | Other | MI | BCBS MD/DO |
| 500F399040 | Other | MI | BCBS NURSE PRACTITIONER BILLING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
Grace Pediatrics PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44200 Woodward Ave Ste 103, Pontiac, MI 48341 Phone: 248-253-9600 Fax: 248-253-0980 |
Impact Aco Billing Company LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5516 |
Oakland Progressive Medical Group, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 461 W Huron St, Suite 600, Seminole Building, Pontiac, MI 48341 Phone: 248-857-7500 |
Impact Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5516 Fax: 248-338-5547 |
Oakland Physicians Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 461 W Huron St, Pontiac, MI 48341 Phone: 248-857-7583 |
A.W.C. Fairclough MD PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 989 University Dr, Suite 107, Pontiac, MI 48342 Phone: 248-334-4773 Fax: 248-334-8230 |