Thunder Bay Community Health Service Inc

A Medicare group practice based in Rogers City, MI: 14 NPIs enrolled under one PECOS associate control ID (PAC ID 0143296772), with 73 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0143296772The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Optometrist, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
MI
Enrollments
12
Group size
39 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
18In 10 places

Enrollment records 12

Enrollment IDStateProvider typeNPI
O20040907000045 MI Part B Supplier - Clinic/Group Practice 1629107552
O20060111000563 MI Part A Provider - Federally Qualified Health Center (FQHC) 1477591691
O20060712000059 MI Part A Provider - Federally Qualified Health Center (FQHC) 1508804246
O20060705000291 MI Part A Provider - Federally Qualified Health Center (FQHC) 1942253851
O20060705000296 MI Part A Provider - Federally Qualified Health Center (FQHC) 1639123623
O20090915000161 MI Part A Provider - Federally Qualified Health Center (FQHC) 1821228958
O20220316000576 MI Part A Provider - Federally Qualified Health Center (FQHC) 1760864763
O20220321000202 MI Part A Provider - Federally Qualified Health Center (FQHC) 1750751392
O20191126000548 MI Part A Provider - Federally Qualified Health Center (FQHC) 1285281709
O20170605001724 MI DME Supplier - Physician - Optometrist 1629107552
O20150216001765 MI Part A Provider - Federally Qualified Health Center (FQHC) 1306244108
O20150827002316 MI Part A Provider - Federally Qualified Health Center (FQHC) 1467837336

NPIs in this group 14

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 73

Clinicians who reassign their Medicare benefits to this group (72) or whom Care Compare lists as members (39).

Sources for this page