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IHA HEALTH SERVICES CORPORATION NPI 1417004003


NPI Information

NPI: 1417004003
Provider Name: IHA HEALTH SERVICES CORPORATION

Doing Business As: TRINITY HEALTH IHA MEDICAL GROUP PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 23D0866414

Address:
4350 JACKSON RD STE 100
ANN ARBOR, MI
ZIP 48103
Phone: (734) 971-9344
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IHA HEALTH SERVICES CORPORATION is a pediatrics in Ann Arbor, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. IHA HEALTH SERVICES CORPORATION NPI is 1417004003. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Trinity Health Iha Medical Group Pediatrics.

The provider's business location address is:

4350 JACKSON RD STE 100
ANN ARBOR, MI
ZIP 48103-889
Phone: (734) 971-9344
Fax: (734) 971-2303

The provider's authorized official is Cynthia Elliott .
The authorized official title is Vp / Chief Operating Officer and has the following contact phone number (734) 747-6766.

The CLIA number assigned to this NPI record is 23D0866414 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/4/2007 and was last updated on 3/17/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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