Organization
IHS ACQUISITION NO. 111, INC.
Active
Other names
Clarkston Specialty Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MAGGIE CANNY (PRESIDENT)
(248) 674-0903
Entity
Organization
Contact information
Practice address
4800 CLINTONVILLE RD, CLARKSTON, MI 48346-4297
(248) 674-0903
(248) 674-3431
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4163588
—
MI
Enumeration date
10/07/2006
Last updated
12/20/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us