| Great Lakes Bay Health Centers | |
|
2110 S M 76 Ste 9 West Branch MI 48661-8737 | |
| (989) 667-3377 | |
| (989) 667-9991 |
| Full Name | Great Lakes Bay Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 2110 S M 76 Ste 9, West Branch, 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 Ave Saginaw MI 48607-1203 Ph: (989) 759-6464 | Great Lakes Bay Health Centers 2110 S M 76 Ste 9 West Branch MI 48661-8737 Ph: (989) 667-3377 |
| NPI Number | 1275922411 |
|---|---|
| Provider Enumeration Date | 01/12/2015 |
| Last Update Date | 12/23/2019 |
| Medicare PECOS PAC ID | 2466369046 |
|---|---|
| Medicare Enrollment ID | O20150316000464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275922411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Mclaren Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Court St, West Branch, MI 48661 Phone: 989-345-7000 Fax: 989-345-7479 | |
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