THUNDER BAY COMMUNITY HEALTH SERVICE INC NPI 1336713098

NPI Information

NPI: 1336713098
Provider Name: THUNDER BAY COMMUNITY HEALTH SERVICE, INC

Doing Business As: SURLINE ELEMENTARY/MIDDLE SCHOOL

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
147 STATE ST
WEST BRANCH, MI
ZIP 48661
Phone: (989) 354-1297
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THUNDER BAY COMMUNITY HEALTH SERVICE, INC is a health service clinic center in West Branch, MI. THUNDER BAY COMMUNITY HEALTH SERVICE, INC NPI is 1336713098. The provider is registered as an organization entity type.
The provider Is Doing Business As Surline Elementary/middle School.

The provider's business location address is:

147 STATE ST
WEST BRANCH, MI
ZIP 48661-154
Phone: (989) 354-1297
Fax: (989) 734-7390

The provider's authorized official is Richard Bates .
The authorized official title is Interim Ceo and has the following contact phone number (989) 354-2197.

The enumeration date for this NPI number is 5/18/2021 and was last updated on 3/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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