| Thunder Bay Community Health Service, Inc | |
| 
					1910 E Miller Rd Fairview MI 48621-8731  | |
| (989) 848-5644 | |
| Not Available | 
| Full Name | Thunder Bay Community Health Service, Inc | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 1910 E Miller Rd, Fairview, Michigan | 
| Authorized Official Name and Position | Richard Bates (INTERIM CEO) | 
| Authorized Official Contact | 9897424583 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| 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 1910 E Miller Rd Fairview MI 48621-8731 Ph: (989) 848-5644  | 
| NPI Number | 1285281709 | 
|---|---|
| Provider Enumeration Date | 08/20/2019 | 
| Last Update Date | 03/13/2023 | 
| Medicare PECOS PAC ID | 0143296772 | 
|---|---|
| Medicare Enrollment ID | O20191126000548 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1285281709 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary | 
Mclaren Bay Region Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1910 E Miller Rd, Fairview, MI 48621 Phone: 989-848-5484 Fax: 989-848-7139  | |
Fairview Clinic Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1910 E Miller Rd, Fairview, MI 48621 Phone: 989-848-5644 Fax: 989-848-7411  | |
Thunder Bay Community Health Service, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1879 E Miller Rd, Fairview, MI 48621 Phone: 989-848-7004  | |
Mclaren Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1910 E Miller Rd, Fairview, MI 48621 Phone: 989-848-5484 Fax: 989-848-7139  |