GREAT LAKES BAY HEALTH CENTERS (NPI# 1376040881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376040881 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES BAY HEALTH CENTERS |
| Other Organization Name | GREAT LAKES BAY HEALTH CENTERS DAVENPORT |
| Practice Address |
3023 Davenport Ave Saginaw MI 48602-3652 |
| Mailing Address |
501 Lapeer Ave Saginaw MI 48607-1203 |
| Practice Telephone | 9899072761 |
| Practice Fax Number | 9899072762 |
| Mailing Telephone | 9899072761 |
| Mailing Fax Number | 9899072762 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |
| Authorized Official Name | DAWN CHRISTIAN (PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 9897596464 |
| 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 |
|---|---|
| Great Lakes Bay Health Centers Davenport | Other Name - Individual/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 |
3023 DAVENPORT AVE |
| City | SAGINAW |
| State | MI |
| Zip Code | 48602-3652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750411336 | Marilyn Jean Brabant | Social Worker | 3023 Davenport Ave, Saginaw, MI 48602-3652 | 2007-03-06 |
| 1336754407 | Henry James Kollman | Social Worker | 3023 Davenport Ave, Saginaw, MI 48602-3652 | 2020-09-15 |
| 1710525837 | Eileen Kay Card | Physical Therapy Assistant | 3023 Davenport Ave, Saginaw, MI 48602-3652 | 2019-12-19 |
| 1740822733 | Victoria Elizabeth Ribble | Social Worker | 3023 Davenport Ave, Saginaw, MI 48602-3652 | 2019-10-11 |
| 1679133854 | Hope Kathryn Singer | Social Worker | 3023 Davenport Ave, Saginaw, MI 48602-3652 | 2019-06-19 |
| 1891257457 | Great Lakes Bay Health Centers | Physical Therapist | 3023 Davenport Ave, Saginaw, MI 48602-3652 | 2019-04-03 |
| 1578022406 | Amy Ashley Doherty | Social Worker | 3023 Davenport Ave, Saginaw, MI 48602-3652 | 2019-03-19 |
| 1376010223 | Great Lakes Bay Health Centers | Pharmacy | 3023 Davenport Ave, Saginaw, MI 48602-3652 | 2018-10-30 |
| 1568821858 | Margaret Muter | Social Worker | 3023 Davenport Ave, Saginaw, MI 48602-3652 | 2016-02-16 |
| 1578940706 | Celia Nicolette O'mara | Social Worker | 3023 Davenport Ave, Saginaw, MI 48602-3652 | 2015-04-27 |
| 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.