MEDICARE: IHA HEALTH SERVICES CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1295266054
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IHA HEALTH SERVICES CORPORATION

Provider Business Mailing Address
First Line	:	24 FRANK LLOYD WRIGHT DR STE J2000
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48105-9484
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14288 E OLD US HIGHWAY 12 STE 300
Second Line	:
City	:	CHELSEA
State	:	MI
Zip	:	48118-2700
Country	:	US
Telephone Number	:	734-426-1925
Fax Number	:	734-426-9022

Authorized Official
Title or Position	:	PRESIDENT & CHIEF OPERATING OFFICER
Name	:	CYNTHIA ELLIOTT
Credential	:
Telephone Number	:	734-747-6766

Provider Enumeration Date	:	03/23/2017
Last Update Date	:	03/10/2026

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Directions to “IHA HEALTH SERVICES CORPORATION ” Practice Location

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