| Great Lakes Bay Health Centers | |
|
6800 Newark Rd Suite 200 Imlay City MI 48444-9656 | |
| (810) 724-3201 | |
| (810) 724-4605 |
| Full Name | Great Lakes Bay Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 6800 Newark Rd, Imlay 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 501 Lapeer Saginaw MI 48607 Ph: (989) 759-6464 | Great Lakes Bay Health Centers 6800 Newark Rd Suite 200 Imlay City MI 48444-9656 Ph: (810) 724-3201 |
| NPI Number | 1710181128 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 09/19/2016 |
| Medicare PECOS PAC ID | 2466369046 |
|---|---|
| Medicare Enrollment ID | O20120131000625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710181128 | NPI | - | NPPES |
| 0G36111 | Other | MI | 0G36111 MEDICARE PAY BILL TO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Michigan) | Primary |
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Great Lakes Bay Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6800 Newark Rd, Imlay City, MI 48444 Phone: 810-724-3201 Fax: 810-724-4605 |