# IHA HEALTH SERVICES CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** IHA Trauma & Critical Care Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235659574
- **Authorized official:** CYNTHIA A ELLIOTT (PRESIDENT & CHIEF OPERATING OFFICER)
- **Authorized official phone:** (734) 747-6766

## Contact information

- **Practice address:** 5301 E. HURON RIVER DR., YPSILANTI, MI 48197
- **Practice address phone:** (734) 712-7017
- **Practice address fax:** (734) 712-2844
- **Mailing address:** PO BOX 0446 LOBBY J, 24 FRANK LLOYD WRIGHT DR., ANN ARBOR, MI 48106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 4301050681 | MI | — |
| 2086S0102X | Surgical Critical Care Physician | 4301050681 | MI | Yes |
| 2086S0102X | Surgical Critical Care Physician | — | NULL | — |
| 2086S0102X | Surgical Critical Care Physician | — | — | — |
| 2086S0127X | Trauma Surgery Physician | 4301050681 | MI | — |
| 2086S0127X | Trauma Surgery Physician | — | NULL | — |
| 2086S0127X | Trauma Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 06/27/2017
- **Last updated:** 08/23/2017