| Thunder Bay Community Health Service, Inc | |
| 
					15774 State St Hillman MI 49746-7961  | |
| (989) 742-4583 | |
| (989) 742-2183 | 
| Full Name | Thunder Bay Community Health Service, Inc | 
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) | 
| Location | 15774 State St, Hillman, 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 15774 State St Hillman MI 49746-7961 Ph: (989) 742-4583  | 
| NPI Number | 1861914475 | 
|---|---|
| Provider Enumeration Date | 07/14/2017 | 
| Last Update Date | 03/13/2023 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1861914475 | NPI | - | NPPES | 
| 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 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15774 Sate Street, Hillman, MI 49746 Phone: 989-742-4583 Fax: 989-742-4298  |