Organization
OAKLAND PRIMARY HEALTH SERVICES, INC.
Active
Other names
OPHS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON BERRY (CFO)
(248) 322-6747
Entity
Organization
Contact information
Practice address
46156 WOODWARD AVE, SUITE B, PONTIAC, MI 48342-5033
(248) 322-6747
(248) 322-5787
Mailing address
46156 WOODWARD AVE, SUITE B, PONTIAC, MI 48342-5033
(248) 322-6747
(248) 322-5787
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104632453
—
MI
01
—
500F399040
BCBS NURSE PRACTITIONER BILLING
MI
01
—
700F300860
BCBS MD/DO
MI
Enumeration date
07/16/2006
Last updated
07/28/2016
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