| Thunder Bay Community Health Service, Inc | |
|
15774 Sate Street Hillman MI 49746-0427 | |
| (989) 742-4583 | |
| (989) 742-4298 |
| Full Name | Thunder Bay Community Health Service, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15774 Sate Street, Hillman, Michigan |
| Authorized Official Name and Position | Michelle Styma (EXECUTIVE DIRECTOR) |
| 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 15774 Sate Street Hillman MI 49746-0427 Ph: (989) 742-4583 |
| NPI Number | 1942253851 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 06/02/2015 |
| Medicare PECOS PAC ID | 0143296772 |
|---|---|
| Medicare Enrollment ID | O20060705000291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942253851 | NPI | - | NPPES |
| 0F06016 | Other | MI | MEDICARE BILL PAY TO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Thunder Bay Community Health Service, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 245 E Third St, Hillman, MI 49746 Phone: 989-742-4537 Fax: 989-742-4298 | |
Thunder Bay Community Health Service, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 631 Caring Street, Hillman, MI 49746 Phone: 989-354-2197 Fax: 989-356-6524 | |
Thunder Bay Community Health Service, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15774 State Street, Hillman, MI 49746 Phone: 989-742-4583 Fax: 989-742-4298 | |
Thunder Bay Community Health Service, Inc Mobile Unit 1 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15774 State St, Hillman, MI 49746 Phone: 989-742-4583 Fax: 989-742-2183 |