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