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IHA HEALTH SERVICES CORPORATION NPI 1629121256


NPI Information

NPI: 1629121256
Provider Name: IHA HEALTH SERVICES CORPORATION

Doing Business As: IHA DERMATOLOGIC SURGERY ASSOCIATES

Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 23D1063292

Address:
4990 W CLARK RD
BLDG A SUITE 200
YPSILANTI, MI
ZIP 48197
Phone: (734) 572-7500
Get Directions

IHA HEALTH SERVICES CORPORATION is a mohs-micrographic surgery dermatology in Ypsilanti, MI. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. IHA HEALTH SERVICES CORPORATION NPI is 1629121256. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Iha Dermatologic Surgery Associates.

The provider's business location address is:

4990 W CLARK RD
BLDG A SUITE 200
YPSILANTI, MI
ZIP 48197-149
Phone: (734) 572-7500
Fax: (734) 572-7777

The provider's authorized official is Cynthia A 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 23D1063292 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 4/1/2011.


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
1207ND0101XDermatologyMOHS-Micrographic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1M32310MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMEDICARE GROUP NUMBER

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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