Provider Demographics
NPI:1710037221
Name:STRAITH HOSPITAL FOR SPECIAL SURGERY
Entity Type:Organization
Organization Name:STRAITH HOSPITAL FOR SPECIAL SURGERY
Other - Org Name:STRAITH HOSPITAL
Other - Org Type:Other Name
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282N00000XHospitalsGeneral Acute Care Hospital
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI700F362110OtherBCBS MICH
0F36211Medicare PIN