Great Lakes Bay Health Centers

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

GREAT LAKES BAY HEALTH CENTERS

Practice address

321 N Warren Ave
Saginaw, MI 48607

Phone

(989) 754-7771

Fax

(989) 754-8792

NPI assigned

Mar 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Galonska

Title

Vice President

Phone

(989) 759-6418

Specialties & licenses 1

Addresses

Other names 1

• Great Lakes Bay Health Centers Downtown Dental Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Federally qualified health center certification: CCN 231966

Legal name

GREAT LAKES BAY HEALTH CENTERS

Doing business as

GREAT LAKES BAY HEALTH CENTERS WARREN AVE

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Apr 5, 2012

Last certification

Apr 5, 2012

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Nov 1, 1968 in MI

Enrollment address

321 N Warren Ave
Saginaw, MI 48607-1500

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Great Lakes Bay Health Centers

  • Federally Qualified Health Center (FQHC)
  • Saginaw, MI
  • NPI 1154920817

  O20120328000784

  Same enrollment

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Brenda Marie Coughlin, MD

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1609864495

  Corporate Officer

  CMS ownership
• Douglas Jay Saylor, MD

  • Obstetrics & Gynecology Physician
  • Bay City, MI
  • NPI 1437147287

  W-2 Managing Employee

  CMS ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1063530848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 LAPEER AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48607",
            "telephone_number": "989-759-6464",
            "fax_number": "989-399-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N WARREN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48607",
            "telephone_number": "989-754-7771",
            "fax_number": "989-754-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES BAY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "GALONSKA",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "989-759-6418"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Lakes Bay Health Centers Downtown Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolea Greanias
• Nicholas Anthony Greanias
• Great Beginnings 1, LLC
• Great Lakes Bay Cardiovascular Institute PLC
• Great Lakes Bay Health Centers
• Great Lakes Bay Health Centers
• Great Lakes Bay Health Centers
• Great Lakes Bay Health Centers
• Great Lakes Bay Health Centers
• Great Lakes Bay Health Centers

• Federally Qualified Health Center (FQHC) in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Federally Qualified Health Center (FQHC) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.