GREAT LAKES BAY HEALTH CENTERS (NPI# 1801907654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801907654 |
Entity Type | Organization |
Organization Name | GREAT LAKES BAY HEALTH CENTERS |
Practice Address |
501 Lapeer Ave Saginaw MI 48607-1208 |
Practice Telephone | 9897596464 |
Practice Fax Number | 9893998233 |
Mailing Telephone | 9897596464 |
Mailing Fax Number | 9893998233 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2016-09-19 |
Authorized Official Name | LISA GALONSKA (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) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 0G36111 MEEDICARE PAY BILL TO | 0G36111 | 01 |
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 |
501 LAPEER AVE |
City | SAGINAW |
State | MI |
Zip Code | 48607-1208 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881219749 | Emma Mulholland | Social Worker | 501 Lapeer Ave, Saginaw, MI 48607-1203 | 2020-06-16 |
1598398224 | Great Lakes Bay Health Centers | Clinic/Center | 501 Lapeer Ave, Saginaw, MI 48607-1203 | 2020-02-21 |
1114585858 | Kari Elizabeth Jordan | Social Worker | 501 Lapeer Ave, Saginaw, MI 48607-1203 | 2019-05-29 |
1942793294 | Derek Williams | Optometrist | 501 Lapeer Ave, Saginaw, MI 48607-1203 | 2018-06-12 |
1447772942 | Aaron Moore | Dental Hygienist | 501 Lapeer Ave, Saginaw, MI 48607-1203 | 2017-07-17 |
1154843639 | Mccauley Mossner | Dental Hygienist | 501 Lapeer Ave, Saginaw, MI 48607-1203 | 2017-07-17 |
1912429499 | Mary Leiter | Dental Hygienist | 501 Lapeer Ave, Saginaw, MI 48607-1203 | 2017-07-17 |
1801331137 | Great Lakes Bay Health Centers | Clinic/Center | 501 Lapeer Ave, Saginaw, MI 48607-1203 | 2016-12-22 |
1467902825 | Ashley Gardner | Nurse Practitioner | 501 Lapeer Ave, Saginaw, MI 48607-1203 | 2016-10-10 |
1760833990 | Katie Thomson | Dentist | 501 Lapeer Ave, Saginaw, MI 48607-1203 | 2016-06-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841858636 | Parker Duncan | Dentist | 321 N Warren, Saginaw, MI 48607 | 2019-06-05 |
1730554015 | Annies Home Care | Assisted Living Facility | 514 Warren Ave, Saginaw, MI 48607 | 2015-12-11 |
1093105157 | Cynthia Moten | Counselor | 128 North Weadock, Saginaw, MI 48607 | 2015-01-28 |
1184013682 | Stacye Williams | Counselor | 127 N Warren Ave, Saginaw, MI 48607 | 2015-01-21 |
1801022702 | Michigan Specialty Pharmacy LLC | Pharmacy | 301 E Genesee Ave Suite #100, Saginaw, MI 48607 | 2009-06-05 |
1063530848 | Great Lakes Bay Health Centers | Clinic/Center | 321 N Warren Ave, Saginaw, MI 48607 | 2007-03-27 |
1922100338 | John M Dee Dds PC | Dentist | 301 E Genesee, Saginaw, MI 48607 | 2006-09-05 |
1518929868 | Renal Treatment Centers Illinois Inc | Clinic/Center | 311 Hoyt Ave, Saginaw, MI 48607 | 2006-04-03 |
1194115253 | Cara Fuller | Counselor | 128 North Weadock, Saginaw, MI 48607 | 2015-01-28 |
1811387970 | Phyllis Davis | Counselor | 128 North Weadock, Saginaw, MI 48607 | 2015-01-28 |
Find all providers in zip 48607 |
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 |
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 |
1376040881 | Great Lakes Bay Health Centers | Clinic/Center | 3023 Davenport Ave, Saginaw, MI 48602-3652 | 2018-04-11 |
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.