THUNDER BAY COMMUNITY HEALTH SERVICE, INC (NPI# 1124402136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124402136 |
| Entity Type | Organization |
| Organization Name | THUNDER BAY COMMUNITY HEALTH SERVICE, INC |
| Other Organization Name | LEWISTON ELEMENTARY SCHOOL |
| Practice Address |
4580 Montmorency St Lewiston MI 49756-7862 |
| Mailing Address |
Po Box 427 Hillman MI 49746-0427 |
| Practice Telephone | 9893542197 |
| Practice Fax Number | 9893566524 |
| Mailing Telephone | 9893542197 |
| Mailing Fax Number | 9893566524 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-09-29 |
| Authorized Official Name | MICHELLE STYMA (CEO) |
| Authorized Official Telephone | 9897424583 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lewiston Elementary School | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382677 | Thunder Bay Community Health Service, Inc | Clinic/Center | 609 W Central Ave Rm Tb1, Mackinaw City, MI 49701-9650 | 2019-12-05 |
| 1609435536 | Thunder Bay Community Health Service, Inc | Clinic/Center | 1033 W Huron Ave Rm Tb1, Rogers City, MI 49779-1428 | 2019-06-13 |
| 1952960197 | Thunder Bay Community Health Service, Inc | Clinic/Center | 311 N Washington St Rm Tb1, Hale, MI 48739-8516 | 2019-06-11 |
| 1750864112 | Thunder Bay Community Health Service, Inc | Clinic/Center | 5993 W Sholes St, Wolverine, MI 49799-9549 | 2018-09-12 |
| 1396292777 | Thunder Bay Community Health Service, Inc | Clinic/Center | 13131 Brook St, Wolverine, MI 49799-8406 | 2016-09-02 |
| 1750751392 | Thunder Bay Community Health Service, Inc | Clinic/Center | 1110 8th Street, Mio, MI 48647-9140 | 2015-09-25 |
| 1558730234 | Thunder Bay Community Health Service, Inc | Clinic/Center | 1879 E Miller Rd, Fairview, MI 48621-8705 | 2015-09-23 |
| 1467837336 | Thunder Bay Community Health Service, Inc | Clinic/Center | 4363 S Straits Hwy, Indian River, MI 49749-9457 | 2015-07-21 |
| 1568846574 | Thunder Bay Community Health Service, Inc | Clinic/Center | 6800 Wilson Rd, Indian River, MI 49749-9447 | 2015-07-20 |
| 1144603705 | Thunder Bay Community Health Service, Inc | Dentist | 26042 M 32 S, Hillman, MI 49746-9788 | 2015-07-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | THUNDER BAY COMMUNITY HEALTH SERVICE, INCORPORATED | 15774 State St, Hillman, MI 49746-8818 |
| Street Address |
4580 MONTMORENCY ST |
| City | LEWISTON |
| State | MI |
| Zip Code | 49756-7862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891227450 | Constance Guthrie | Social Worker | 4580 Montmorency St, Lewiston, MI 49756-7862 | 2017-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760495360 | Daniel Rand Woodruff | Chiropractor | 4556 Salling Avenue, Lewiston, MI 49756 | 2006-08-14 |
| 1720098395 | Township of Albert | Ambulance | 4196 Salling Ave, Lewiston, MI 49756 | 2006-08-08 |
| 1649652298 | Stephanie Rutterbush | Family Medicine | 3040 Bourn St, Lewiston, MI 49756 | 2015-06-19 |
| 1285867838 | Munson Healthcare Otsego Memorial Hospital | General Practice | 3040 Bourn St, Lewiston, MI 49756 | 2009-08-31 |
| 1538328364 | Munson Healthcare Otsego Memorial Hospital | General Practice | 3040 Bourn St, Lewiston, MI 49756 | 2008-06-06 |
| 1366631798 | John Peter Marconnit | Dentist | 3051 Bay Street, Lewiston, MI 49756 | 2007-10-22 |
| 1396758991 | Woodruff Family Chiropractic, P.C. | Chiropractor | 4556 Salling Ave, Lewiston, MI 49756 | 2006-08-14 |
| 1336159995 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 2855 South County Road 489, Lewiston, MI 49756-0097 | 2006-08-08 |
| 1841315090 | John P. Marconnit D.d.s., P.C. | Dental Laboratory | 3051 Bay Street, Lewiston, MI 49756-0170 | 2007-03-20 |
| 1760422455 | Toupin Chiropractic Clinics, P.C. | Chiropractor | 4556 Salling Ave, Lewiston, MI 49756-7852 | 2006-06-08 |
| Find all providers in zip 49756 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437401148 | Community Health Association of Spokane | Clinic/Center | 1203 Idaho Street, Lewiston, ID 83501-1940 | 2012-10-04 |
| 1841541877 | Bertie County Rural Health Association | Clinic/Center | 307 S. Main Street, Lewiston, NC 27849-9694 | 2012-10-01 |
| 1720371313 | Community Clinical Services, Inc. | Clinic/Center | 96 Campus Ave, Suite 218, Lewiston, ME 04240-6019 | 2011-05-16 |
| 1710279344 | Community Clinical Services, Inc. | Clinic/Center | 100 Campus Ave Ste 208, Lewiston, ME 04240-6069 | 2011-05-16 |
| 1336590207 | Community Clinical Services, Inc. | Clinic/Center | 198 Main St, Room A, Lewiston, ME 04240-7074 | 2016-06-22 |
| 1942655345 | Community Clinical Services, Inc. | Clinic/Center | 15 Mollison Way, Room A, Lewiston, ME 04240-5805 | 2016-05-04 |
| 1760836977 | Community Clinical Services, Inc. | Clinic/Center | 99 Campus Ave, Suite 201, Room A, Lewiston, ME 04240-6045 | 2016-04-14 |
| 1740649227 | Community Clinical Services, Inc. | Clinic/Center | 330 Sabattus St, Suite B, Lewiston, ME 04240-5553 | 2016-02-12 |
| 1023475134 | Community Clinical Services, Inc. | Clinic/Center | 330 Sabattus St, Suite B, Lewiston, ME 04240-5553 | 2016-01-20 |
| 1568703791 | Community Clinical Services, Inc | Clinic/Center | 100 Campus Ave Ste 201, Lewiston, ME 04240-6049 | 2013-03-13 |
| Find all providers in LEWISTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.