Provider Demographics
NPI:1548268436
Name:STRAITH HOSPITAL FOR SPECIAL SURGERY
Entity type:Organization
Organization Name:STRAITH HOSPITAL FOR SPECIAL SURGERY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:RYS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-357-3360
Mailing Address - Street 1:23901 LAHSER RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033
Mailing Address - Country:US
Mailing Address - Phone:248-357-3360
Mailing Address - Fax:248-357-0915
Practice Address - Street 1:23901 LAHSER RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-6035
Practice Address - Country:US
Practice Address - Phone:248-357-3360
Practice Address - Fax:248-357-0915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-13
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI630150282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1556447Medicaid
MI00090OtherBCBSM
MI5172106Medicaid
MI1556447Medicaid
MI0F36211Medicare PIN
MI5172106Medicaid