THUNDER BAY COMMUNITY HEALTH SERVICE INC NPI 1154697092

NPI Information

NPI: 1154697092
Provider Name: THUNDER BAY COMMUNITY HEALTH SERVICE, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
532 W ERIE ST
ROGERS CITY, MI
ZIP 49779
Phone: (989) 734-9150
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THUNDER BAY COMMUNITY HEALTH SERVICE, INC is a federally qualified health center (fqhc) clinic center in Rogers City, MI. THUNDER BAY COMMUNITY HEALTH SERVICE, INC NPI is 1154697092. The provider is registered as an organization entity type.

The provider's business location address is:

532 W ERIE ST
ROGERS CITY, MI
ZIP 49779-635
Phone: (989) 734-9150
Fax: (989) 742-4298

The provider's authorized official is Richard Bates .
The authorized official title is Interim Ceo and has the following contact phone number (989) 742-4583.

The enumeration date for this NPI number is 3/26/2012 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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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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