Provider Demographics
NPI:1831242528
Name:COUNTY OF OAKLAND
Entity type:Organization
Organization Name:COUNTY OF OAKLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, HHS
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:J
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MA
Authorized Official - Phone:248-858-4063
Mailing Address - Street 1:1200 N TELEGRAPH RD
Mailing Address - Street 2:BLDG 34 EAST
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341-1032
Mailing Address - Country:US
Mailing Address - Phone:248-858-1280
Mailing Address - Fax:248-858-5428
Practice Address - Street 1:1200 N TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-1032
Practice Address - Country:US
Practice Address - Phone:248-858-1280
Practice Address - Fax:248-858-5639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301030690251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
010F370450OtherBCBSM
0F37045Medicare PIN