| Great Lakes Bay Health Centers Bayside | |
|
3884 Monitor Road Bay City MI 48706-9298 | |
| (989) 671-2000 | |
| (989) 671-4000 |
| Full Name | Great Lakes Bay Health Centers Bayside |
|---|---|
| Speciality | Clinic/Center |
| Location | 3884 Monitor Road, Bay City, Michigan |
| Authorized Official Name and Position | Lisa Galonska (VICE PRESIDENT) |
| Authorized Official Contact | 9897596464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Bay Health Centers Bayside 501 Lapeer Saginaw MI 48607-1208 Ph: (989) 759-6464 | Great Lakes Bay Health Centers Bayside 3884 Monitor Road Bay City MI 48706-9298 Ph: (989) 671-2000 |
| NPI Number | 1982722039 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 09/19/2016 |
| Medicare PECOS PAC ID | 2466369046 |
|---|---|
| Medicare Enrollment ID | O20061214000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982722039 | NPI | - | NPPES |
| 0G36111 | Other | MI | 0G36111 MEDICARE BILL PAY TO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Michigan) | Primary |
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