NPI:
1861914475
Provider Name:
THUNDER BAY COMMUNITY HEALTH SERVICE, INC
Other Name: THUNDER BAY COMMUNITY HEALTH SERVICE, INC MOBILE UNIT 1
Classification:
Clinic/Center - 261QF0400X
Entity Type:
Organization
Specialization: Federally Qualified Health Center (FQHC)
Address:
15774 STATE ST
HILLMAN, MI
ZIP 49746
Phone:
(989) 742-4583
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THUNDER BAY COMMUNITY HEALTH SERVICE, INC is a federally qualified health center (fqhc) clinic center in Hillman, MI. THUNDER BAY COMMUNITY HEALTH SERVICE, INC NPI is 1861914475. The provider is registered as an organization entity type.
The provider Other Name Is Thunder Bay Community Health Service, Inc Mobile Unit 1.
The provider's business location address is:
15774 STATE ST
HILLMAN, MI
ZIP 49746-961
Phone: (989) 742-4583
Fax: (989) 742-2183
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 7/14/2017 and was last updated on 3/13/2023.