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IHA HEALTH SERVICES CORPORATION NPI 1669955894


NPI Information

NPI: 1669955894
Provider Name: IHA HEALTH SERVICES CORPORATION

Doing Business As: IHA SOUTH LYON PRIMARY CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D2157067

Address:
23200 PONTIAC TRL STE 100
SOUTH LYON, MI
ZIP 48178
Phone: (248) 446-2935
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IHA HEALTH SERVICES CORPORATION is a family medicine in South Lyon, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. IHA HEALTH SERVICES CORPORATION NPI is 1669955894. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Iha South Lyon Primary Care.

The provider's business location address is:

23200 PONTIAC TRL STE 100
SOUTH LYON, MI
ZIP 48178-983
Phone: (248) 446-2935
Fax: (248) 446-2936

The provider's authorized official is Cynthia A Elliott .
The authorized official title is President/coo and has the following contact phone number (734) 327-0872.

The CLIA number assigned to this NPI record is 23D2157067 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/13/2018 and was last updated on 12/27/2019.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes
2207R00000XInternal MedicineNo
3363A00000XPhysician AssistantNo
4363L00000XNurse PractitionerNo

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: 5/5/2024

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