Provider Demographics
NPI:1639458946
Name:HURON VALLEY SINAI HOSPITAL
Entity Type:Organization
Organization Name:HURON VALLEY SINAI HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR MEDICAL EDUCATION
Authorized Official - Prefix:DR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:BELEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-937-5088
Mailing Address - Street 1:43166 LOCHRISEN WAY
Mailing Address - Street 2:3312
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-5410
Mailing Address - Country:US
Mailing Address - Phone:215-688-7439
Mailing Address - Fax:
Practice Address - Street 1:1 WILLIAM CARLS DR
Practice Address - Street 2:
Practice Address - City:COMMERCE TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48382-2201
Practice Address - Country:US
Practice Address - Phone:248-937-5085
Practice Address - Fax:248-937-5088
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DETROIT MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101019488282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital