THUNDER BAY COMMUNITY HEALTH SERVICE INC NPI 1285281709

NPI Information

  • NPI: 1285281709
  • Provider Name: THUNDER BAY COMMUNITY HEALTH SERVICE, INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Other Name: THUNDER BAY COMMUNITY HEALTH SERVICE, INC - FAIRVIEW
  • Address: 1910 E MILLER RD
    FAIRVIEW, MI
    ZIP 48621
  • Phone: (989) 848-5644

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NPI Details

THUNDER BAY COMMUNITY HEALTH SERVICE, INC is a federally qualified health center (fqhc) clinic center in Fairview, MI. THUNDER BAY COMMUNITY HEALTH SERVICE, INC NPI is 1285281709. The provider is registered as an organization entity type.
The provider Other Name Is Thunder Bay Community Health Service, Inc - Fairview.

The provider's business location address is:

1910 E MILLER RD
FAIRVIEW, MI
ZIP 48621-731
Phone: (989) 848-5644

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 8/20/2019 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
1261QF0400XClinic/CenterFederally 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: 3/30/2025

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