| Thunder Bay Community Health Service, Inc | |
|
609 W Central Ave Rm Tb1 Mackinaw City MI 49701-9650 | |
| (231) 597-9585 | |
| Not Available |
| Full Name | Thunder Bay Community Health Service, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 609 W Central Ave Rm Tb1, Mackinaw City, Michigan |
| Authorized Official Name and Position | Richard Bates (INTERIM CEO) |
| Authorized Official Contact | 9897424583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thunder Bay Community Health Service, Inc Po Box 427 Hillman MI 49746-0427 Ph: (989) 742-4583 | Thunder Bay Community Health Service, Inc 609 W Central Ave Rm Tb1 Mackinaw City MI 49701-9650 Ph: (231) 597-9585 |
| NPI Number | 1396382677 |
|---|---|
| Provider Enumeration Date | 12/05/2019 |
| Last Update Date | 03/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396382677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mackinac Straits Health System Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14540 N Mackinaw Highway, Mackinaw City, MI 49701 Phone: 231-436-9900 Fax: 231-436-5357 |