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 Ph: () - | Oihn Jump Start Center 196 Cesar E Chavez Ave Pontiac MI 48342-1094 Ph: (248) 724-7434 |
NPI Number | 1265975122 |
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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) | (* (Not Available)) | Primary |
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