IHA HEALTH SERVICE CORPORATION
Complete NPI Record 1831053701
Obstetrics & Gynecology in Ypsilanti, MI

Active since December 15, 2025
4936 W CLARK RD STE 100, YPSILANTI, MI 48197(734) 434-6200 Get Directions

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 10, 2026, Dec 15, 2025 (2 updates tracked since 2025).

Complete NPI Dataset

This page contains the complete raw NPPES record for Iha Health Service Corporation (NPI 1831053701), an obstetrics & gynecology organization in Ypsilanti, MI. All 29 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.

Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.

Registry File Document Utilities
NPI: 1831053701
Field 1/29
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2
Field 2/29
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: Not available
Field 3/29
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business Name: IHA HEALTH SERVICE CORPORATION
Field 4/29
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Mailing Address: 24 FRANK LLOYD WRIGHT DR STE J2000
Field 5/29
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City Name: ANN ARBOR
Field 6/29
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: MI
Field 7/29
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code: 481059484
Field 8/29
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Country Code If outside U S : US
Field 9/29
The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
Provider Business Mailing Address Telephone Number: 7347476766
Field 10/29
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number: 7342223100
Field 11/29
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Provider First Line Business Practice Location Address: 4936 W CLARK RD STE 100
Field 12/29
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: YPSILANTI
Field 13/29
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: MI
Field 14/29
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 481970861
Field 15/29
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
Field 16/29
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 7344346200
Field 17/29
The telephone number associated with the location address of the provider being identified.
Authorized Official Last Name: ELLIOTT
Field 20/29
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: CYNTHIA
Field 21/29
The first name of the authorized official.
Authorized Official Middle Name: A
Field 22/29
The middle name of the authorized official.
Authorized Official Title or Position: PRESIDENT
Field 23/29
The title or position of the authorized official.
Authorized Official Telephone Number: 7343270872
Field 24/29
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 207V00000X
Field 25/29
This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Field 26/29
This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Is Organization Subpart: N
Field 27/29
Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP
Field 28/29
Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.

Other Organization Names 1

Additional business and trade names this provider has on file with the NPPES registry.

Trinity Health IHA Medical Group OB/GYN Float Doing Business As
Name 1/1
Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.

Secondary Practice Locations 14

The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.

4350 Jackson Rd Ste 300
Location 1/14
Ann Arbor, MI 48103-1889 · Phone (734) 995-2259
4200 Whitehall Dr Ste 330
Location 2/14
Ann Arbor, MI 48105-9694 · Phone (734) 434-0477
6770 Dixie Hwy Ste 202
Location 3/14
Clarkston, MI 48346-2098 · Phone (248) 625-8555
44428 Woodward Ave Ste 104
Location 4/14
Pontiac, MI 48341-5009 · Phone (248) 858-6272
1854 W Auburn Rd Ste 100B
Location 5/14
Rochester Hills, MI 48309-3868 · Phone (248) 696-3176
49650 Cherry Hill Rd Ste 220
Location 6/14
Canton, MI 48187-4860 · Phone (734) 398-7888
5333 McAuley Dr
Location 7/14
Ypsilanti, MI 48197-1014 · Phone (734) 802-5030
2305 Genoa Business Park Dr Ste 220
Location 8/14
Brighton, MI 48114-7005 · Phone (810) 494-6860
14288 E Old US Highway 12 Ste 300
Location 9/14
Chelsea, MI 48118-2700 · Phone (734) 426-1925
32932 Warren Rd Ste 100
Location 10/14
Westland, MI 48185-3095 · Phone (734) 743-4500
19000 St Joes Pkwy Ste 210
Location 11/14
Livonia, MI 48152-1477 · Phone (734) 655-8250
43097 Woodward Ave Ste 202
Location 12/14
Bloomfield Township, MI 48302-5043 · Phone (248) 334-4505
28300 Orchard Lake Rd Ste 100B
Location 13/14
Farmington Hills, MI 48334-3704 · Phone (734) 655-8250
990 W Ann Arbor Trl Ste 302
Location 14/14
Plymouth, MI 48170-6202 · Phone (734) 434-0477
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