OrganizationActive
Innovative Integrated Health Systems
NPI 1306686076 · Health Service Clinic/Center · Lansing, MI
Provider details
- NPI number
- 1306686076
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Innovative Health Systems
- Organization subpart
- Yes
- Authorized official
- Ricardo Tillery, Administrator(517) 703-3387
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3721 W Michigan Ave Ste 200
Lansing, MI 48917-3600
Phone: (517) 515-6176
Street-level locationGet directions
Mailing address
3721 W Michigan Ave Ste 200
Lansing, MI 48917-3600
Registry dates
- Enumerated
- 2024-05-29
- Last updated
- 2024-05-29
- Certified
- 2024-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.