| Thunder Bay Community Health Service, Inc. | |
|
947 Donovan St Rm Tb1 Vanderbilt MI 49795-9772 | |
| (989) 733-2082 | |
| (989) 733-8487 |
| Full Name | Thunder Bay Community Health Service, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 947 Donovan St Rm Tb1, Vanderbilt, Michigan |
| Authorized Official Name and Position | Richard Bates (INTERIM CEO) |
| Authorized Official Contact | 9893542197 |
| 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) 354-2197 | Thunder Bay Community Health Service, Inc. 947 Donovan St Rm Tb1 Vanderbilt MI 49795-9772 Ph: (989) 733-2082 |
| NPI Number | 1720635592 |
|---|---|
| Provider Enumeration Date | 08/26/2019 |
| Last Update Date | 03/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720635592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |