GREAT LAKES BAY HEALTH CENTERS (NPI# 1235483900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235483900 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES BAY HEALTH CENTERS |
| Other Organization Name | GREAT LAKES BAY HEALTH CENTERS INEGRATED CARE SAGINAW |
| Practice Address |
500 Hancock St Saginaw MI 48602-4224 |
| Mailing Address |
501 Lapeer Ave Saginaw MI 48607-1208 |
| Practice Telephone | 9897596464 |
| Practice Fax Number | 9893998233 |
| Mailing Telephone | 9897596464 |
| Mailing Fax Number | 9893998233 |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2016-09-19 |
| Authorized Official Name | LISA GALONSKA (VICE PRESINDET) |
| Authorized Official Telephone | 9897596464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Great Lakes Bay Health Centers Inegrated Care Saginaw | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235750571 | Great Lakes Bay Health Centers | Clinic/Center | 2300 Veterans Memorial Pkwy, Saginaw, MI 48601-1268 | 2020-04-28 |
| 1386290153 | Great Lakes Bay Health Centers | Clinic/Center | 3021 Court St, Saginaw, MI 48602-3620 | 2019-08-16 |
| 1073169835 | Great Lakes Bay Health Centers | Clinic/Center | 4691 Bearcat Blvd, Bridgeport, MI 48722-9581 | 2019-08-16 |
| 1275003766 | Great Lakes Bay Health Centers | Clinic/Center | 1821 Mckinley St, Bay City, MI 48708 | 2018-11-28 |
| 1275922411 | Great Lakes Bay Health Centers | Clinic/Center | 2110 S M 76 Ste 9, West Branch, MI 48661-8737 | 2015-01-12 |
| 1134491202 | Great Lakes Bay Health Centers | Clinic/Center | 1555 Industrial Drive, Owosso, MI 48867 | 2012-02-03 |
| 1902136385 | Great Lakes Bay Health Centers | Clinic/Center | 1015 Commerce Dr, Vassar, MI 48768-9589 | 2010-01-06 |
| 1023348406 | Great Lakes Bay Health Centers | Clinic/Center | 2424 N. Outer Drive, Saginaw, MI 48601-1208 | 2010-01-06 |
| 1649400284 | Great Lakes Bay Health Centers | Clinic/Center | 955 Commerce, Vassar, MI 48768-1208 | 2009-07-16 |
| 1548407992 | Great Lakes Bay Health Centers | Clinic/Center | 239 State Road, Suite A, Owosso, MI 48867-9075 | 2009-01-07 |
| Street Address |
500 HANCOCK ST |
| City | SAGINAW |
| State | MI |
| Zip Code | 48602-4224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659313435 | Genoa Healthcare LLC | Durable Medical Equipment & Medical Supplies | 500 Hancock St, Ste 100, Saginaw, MI 48602-4224 | 2006-06-13 |
| 1639779911 | Samantha Erin Tenut | Registered Nurse | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-10-27 |
| 1417556663 | Daysha Reese | Community Health Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-10-20 |
| 1780282442 | Stephanie Lynn Mumby | Dietitian, Registered | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-10-15 |
| 1790302255 | Tellis Colt Donajkowski | Case Manager/Care Coordinator | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-07-01 |
| 1609493485 | Rosa L Davis | Case Manager/Care Coordinator | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-06-29 |
| 1124642301 | Jessica Gayle Szikszay | Social Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-06-03 |
| 1912528407 | Treasa Linsay Ross | Community Health Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-05-06 |
| 1174144836 | Alexandria Sharon | Community Health Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-05-04 |
| 1548881212 | Marie E Berg | Community Health Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
| 1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
| 1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
| 1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
| 1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
| 1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
| 1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
| 1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
| 1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
| 1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
| Find all providers in zip 48602 | ||||
| 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 |
|---|---|---|---|---|
| 1235750571 | Great Lakes Bay Health Centers | Clinic/Center | 2300 Veterans Memorial Pkwy, Saginaw, MI 48601-1268 | 2020-04-28 |
| 1386290153 | Great Lakes Bay Health Centers | Clinic/Center | 3021 Court St, Saginaw, MI 48602-3620 | 2019-08-16 |
| 1023348406 | Great Lakes Bay Health Centers | Clinic/Center | 2424 N. Outer Drive, Saginaw, MI 48601-1208 | 2010-01-06 |
| 1871611665 | Great Lakes Bay Health Center | Clinic/Center | 229 Gallagher, Saginaw, MI 48601-3252 | 2007-03-27 |
| 1427176502 | Great Lakes Bay Health Centers | Clinic/Center | 925 N River Rd, St Vincent Home Health Center, Saginaw, MI 48609 | 2007-03-27 |
| 1063530848 | Great Lakes Bay Health Centers | Clinic/Center | 321 N Warren Ave, Saginaw, MI 48607 | 2007-03-27 |
| 1336267111 | Great Lakes Bay Health Centers | Clinic/Center | 2424 N Outer Drive, Wolverine Human Services Saginaw Health Center, Saginaw, MI 48601-6010 | 2007-03-27 |
| 1801907654 | Great Lakes Bay Health Centers | Clinic/Center | 501 Lapeer Ave, Saginaw, MI 48607-1208 | 2006-08-31 |
| 1154920817 | Great Lakes Bay Health Centers | Clinic/Center | 321 N Warren Ave, Saginaw, MI 48607-1500 | 2020-10-22 |
| 1598398224 | Great Lakes Bay Health Centers | Clinic/Center | 501 Lapeer Ave, Saginaw, MI 48607-1203 | 2020-02-21 |
| Find all providers in SAGINAW | ||||
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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.