THUNDER BAY COMMUNITY HEALTH SERVICE, INC (NPI# 1609435536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609435536 |
| Entity Type | Organization |
| Organization Name | THUNDER BAY COMMUNITY HEALTH SERVICE, INC |
| Practice Address |
1033 W Huron Ave Rm Tb1 Rogers City MI 49779-1428 |
| Mailing Address |
Po Box 427 Hillman MI 49746-0427 |
| Practice Telephone | 9897342052 |
| Practice Fax Number | 9897347390 |
| Mailing Telephone | 9893542197 |
| Mailing Fax Number | 9893541957 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |
| Authorized Official Name | HEIDE BOLANOWSKI (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 9893542197 |
| 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 |
|---|---|
| Rogers City Middle - High 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 |
| 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 |
| 1124402136 | Thunder Bay Community Health Service, Inc | Clinic/Center | 4580 Montmorency St, Lewiston, MI 49756-7862 | 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 |
1033 W HURON AVE RM TB1 |
| City | ROGERS CITY |
| State | MI |
| Zip Code | 49779-1428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689711772 | Alpena Regional Medical Center | General Acute Care Hospital | 2402 Bradley Highway, Suite 2, Rogers City, MI 49779 | 2007-01-30 |
| 1023173093 | James E Ryan | Dentist | 216 S Third St, Rogers City, MI 49779 | 2006-12-27 |
| 1477591691 | Thunder Bay Community Health Service, Inc | Clinic/Center | 205 S Brandley Hwy, Rogers City, MI 49779 | 2006-06-02 |
| 1245734516 | Melissa Zinke | Physical Therapist | 201 S Bradley Hwy, Suite 6, Rogers City, MI 49779 | 2018-03-21 |
| 1295108579 | Tricia Kowalski | Occupational Therapist | 555 N Bradley Hwy, Rogers City, MI 49779 | 2015-11-09 |
| 1801162649 | Thunder Bay Community Health Service, Inc | Clinic/Center | 555 N Bradley Hwy, Rogers City, MI 49779 | 2012-03-27 |
| 1316003890 | Amy Elizabeth Lesniowski | Occupational Therapist | 443 N 1st St, Rogers City, MI 49779-1303 | 2006-12-29 |
| 1780049528 | Peacock Family Chiropractic, Pllc | Chiropractor | 408 N 3rd St, Rogers City, MI 49779-1309 | 2015-12-21 |
| 1043527195 | Russell A Fairbanks, D.c.,p.c. | Chiropractor | 408 N Third St, Rogers City, MI 49779-1309 | 2010-09-10 |
| 1528018355 | Russell Austin Fairbanks | Chiropractor | 408 N Third St, Rogers City, MI 49779-1309 | 2006-05-11 |
| Find all providers in zip 49779 | ||||
| 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 |
|---|---|---|---|---|
| 1154697092 | Thunder Bay Community Health Service, Inc | Clinic/Center | 532 W Erie St, Rogers City, MI 49779-1635 | 2012-03-26 |
| 1477591691 | Thunder Bay Community Health Service, Inc | Clinic/Center | 205 S Brandley Hwy, Rogers City, MI 49779 | 2006-06-02 |
| 1801162649 | Thunder Bay Community Health Service, Inc | Clinic/Center | 555 N Bradley Hwy, Rogers City, MI 49779 | 2012-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658244 | Hackley Community Care Center Inc | Clinic/Center | 3113 Pontaluna Rd Ste A, Fruitport, MI 49415-9600 | 2020-10-30 |
| 1760080972 | Hackley Community Care Center Inc | Clinic/Center | 1420 Madison St Ste A, Muskegon, MI 49442-5251 | 2020-10-12 |
| 1831706993 | Family Medical Center of Michigan, Inc | Clinic/Center | 503 Washington St Rm 150, Monroe, MI 48161-1309 | 2020-09-23 |
| 1326654666 | Family Medical Center of Michigan,inc | Clinic/Center | 550 E Main St Ste 1001, Hudson, MI 49247-9535 | 2020-09-22 |
| 1922613975 | Hackley Community Care Center Inc | Clinic/Center | 6245 Syers Rd Ste A, Holton, MI 49425-7557 | 2020-09-15 |
| 1700400389 | Northwest Michigan Health Services, Inc. | Clinic/Center | 300 W Broadway Ave Trlr 1, Scottville, MI 49454-1019 | 2020-05-30 |
| 1679195721 | Family Medical Center of Michigan,inc | Clinic/Center | 2740 Collingwood St Ste 100, Detroit, MI 48206-1473 | 2020-05-12 |
| 1235750571 | Great Lakes Bay Health Centers | Clinic/Center | 2300 Veterans Memorial Pkwy, Saginaw, MI 48601-1268 | 2020-04-28 |
| 1053948265 | Upper Great Lakes Family Health Center | Clinic/Center | 1414 W Fair Ave Ste 242, Marquette, MI 49855-5406 | 2020-03-26 |
| 1568096923 | Grace Health, Inc. | Clinic/Center | 825 Capital Ave Ne, Battle Creek, MI 49017-5605 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
| City | ROGERS CITY |
| Zip Code | 49779 |
Please comment or provide details below to improve the information on THUNDER BAY COMMUNITY HEALTH SERVICE, INC.
| 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.