GREAT LAKES BAY HEALTH CENTERS (NPI# 1548464951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548464951 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES BAY HEALTH CENTERS |
| Other Organization Name | GREAT LAKES BAY HEALTH CENTERS MANCHESTER |
| Practice Address |
4800 Esch Road Manchester Migrant Camp Manchester MI 48158 |
| Mailing Address |
501 Lapeer Saginaw MI 48607-1208 |
| Practice Telephone | 9897596464 |
| Practice Fax Number | 9893998233 |
| Mailing Telephone | 9897596464 |
| Mailing Fax Number | 9893998233 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2016-09-19 |
| Authorized Official Name | LISA GALONASKA (VICE PRESIDENT) |
| 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) |
MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| 0G36111 MEDICARE BILL PAY TO | 0G36111 | 01 |
| Other Name | Type Code |
|---|---|
| Great Lakes Bay Health Centers Manchester | 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 |
4800 ESCH ROAD MANCHESTER MIGRANT CAMP |
| City | MANCHESTER |
| State | MI |
| Zip Code | 48158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003332651 | Jessica L Walz | Specialist/Technologist | 9235 Grossman Rd, Manchester, MI 48158 | 2017-08-16 |
| 1952427841 | Bruce Alan Bates | Dentist | 500 Galloway Dr, Manchester, MI 48158 | 2007-03-22 |
| 1114083581 | Dana Ray Andrews | Chiropractor | 102 S. Clinton St., Suite 1, Manchester, MI 48158 | 2006-12-29 |
| 1538485602 | Aaron Larock | Dentist | 126 E. Main St, Apartment 2, Manchester, MI 48158 | 2010-04-14 |
| 1427114693 | Andrews Family Chiropractic Pllc | Chiropractor | 102 S. Clinton St., Suite 1, Manchester, MI 48158 | 2006-12-29 |
| 1396930533 | Margaret Anne Steeb | Dietitian, Registered | 216 N. Washington St, Unit # 3, Manchester, MI 48158-0504 | 2007-09-11 |
| 1720248016 | Gayle Anne Antonelli | Physician Assistant | 122 W Main St, Manchester, MI 48158-1002 | 2008-06-11 |
| 1679776264 | Evelyn Eccles, Md | Family Medicine | 122 W Main St, Box 570, Manchester, MI 48158-1002 | 2007-06-09 |
| 1366533689 | Evelyn Eccles | Family Medicine | 122 W Main St, Box 570, Manchester, MI 48158-1002 | 2006-09-28 |
| 1245246289 | David A Hanauer | Pediatrics | 39901 Traditions Drive, Suite 240, Northville, MI 48158-4401 | 2006-07-31 |
| Find all providers in zip 48158 | ||||
| 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 |
|---|---|---|---|---|
| 1154984714 | Catholic Medical Center | Clinic/Center | 293 Wilson St Ste 102, Manchester, NH 03103-5021 | 2019-04-19 |
| 1811480403 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 230, Manchester, CT 06042-2086 | 2018-06-08 |
| 1851883458 | First Choice Health Centers, Inc. | Clinic/Center | 227 Middle Turnpike East, Manchester, CT 06040-4261 | 2018-05-31 |
| 1275061269 | Grace Community Health Center Inc | Clinic/Center | 1908 N. Highway 421, Manchester, Manchester, KY 40962-7337 | 2017-06-02 |
| 1285928259 | Catholic Medical Center | Clinic/Center | 177 Lake Ave, Manchester, NH 03103-5321 | 2011-06-07 |
| 1942215819 | Catholic Medical Center | Clinic/Center | 199 Manchester St, New Horizons Shelter, Manchester, NH 03103-5232 | 2006-07-29 |
| 1083617013 | Amoskeag Health | Clinic/Center | 145 Hollis St, Manchester, NH 03101-1325 | 2005-05-23 |
| 1861048969 | Amoskeag Health | Clinic/Center | 1555 Elm St, Manchester, NH 03101-1203 | 2019-08-14 |
| 1487022992 | Amoskeag Health | Clinic/Center | 88 Mcgregor St, Manchester, NH 03102-3750 | 2015-09-14 |
| 1962884395 | First Choice Health Centers, Inc. | Clinic/Center | 444 Center St, 3rd Floor, Manchester, CT 06040-3926 | 2015-06-22 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 48158 |
Please comment or provide details below to improve the information on GREAT LAKES BAY HEALTH CENTERS.
| 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.