GREAT LAKES BAY HEALTH CENTERS NPI 1649474057

NPI Information

NPI: 1649474057
Provider Name: GREAT LAKES BAY HEALTH CENTERS

Other Name: GREAT LAKES BAY HEALTH CENTERS BELDING

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
318 S BRIDGE ST STE B
BELDING, MI
ZIP 48809
Phone: (616) 794-5221
Get Directions

GREAT LAKES BAY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Belding, MI. GREAT LAKES BAY HEALTH CENTERS NPI is 1649474057. The provider is registered as an organization entity type.
The provider Other Name Is Great Lakes Bay Health Centers Belding.

The provider's business location address is:

318 S BRIDGE ST STE B
BELDING, MI
ZIP 48809-764
Phone: (616) 794-5221
Fax: (616) 794-5227

The provider's authorized official is Lisa Galonska .
The authorized official title is Vice President and has the following contact phone number (989) 759-6464.

The CLIA number assigned to this NPI record is 23D0865856 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/12/2007 and was last updated on 11/27/2017.

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)		MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0G36111	MEDICARE PIN	MICHIGAN
2	231810	MEDICARE OSCAR/CERTIFICATION	MICHIGAN
3	0G36111	OTHER	MICHIGAN	0G36111 MEDICARE BILL PAY TO

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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