Thunder Bay Community Health Service, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

THUNDER BAY COMMUNITY HEALTH SERVICE, INC

Doing business as

Lewiston Elementary School

Practice address

4580 Montmorency St
Lewiston, MI 49756-7862

Phone

(989) 354-2197

Fax

(989) 356-6524

NPI assigned

Jul 20, 2015

Last updated

Jul 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Doug Kreis

Title

Ceo

Phone

(989) 742-4583

Specialties & licenses 1

Addresses

Other names 1

• Lewiston Elementary School Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bridget M Goss, LMSW

  • Clinical Social Worker
  • Lewiston, MI
  • NPI 1851011548
  NPD (past)
• Constance Guthrie, LMSW

  • Clinical Social Worker
  • Gaylord, MI
  • NPI 1891227450
  NPD (past)
• Laura Rea, LPC

  • Mental Health Counselor
  • Johannesburg, MI
  • NPI 1578986022
  NPD (past)

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1124402136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "HILLMAN",
            "state": "MI",
            "postal_code": "497460427",
            "telephone_number": "989-354-2197",
            "fax_number": "989-356-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 MONTMORENCY ST",
            "city": "LEWISTON",
            "state": "MI",
            "postal_code": "497567862",
            "telephone_number": "989-354-2197",
            "fax_number": "989-356-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUNDER BAY COMMUNITY HEALTH SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "KREIS",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-742-4583"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewiston Elementary School",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lewiston Elementary School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rite Aid Pharmacy
• Hannah B Russell, PA-C
• Stephanie Rutterbush, MD
• Sheppard Dental Group LLC
• Lisa Ann Stier, NP-C
• Thunder Bay Community Health Service, Inc
• Toupin Chiropractic Clinics, P.C.
• Township of Albert (Albert Township Ambulance Service)
• Woodruff Family Chiropractic, P.C.
• Daniel Rand Woodruff, D.C.

• Federally Qualified Health Center (FQHC) in Lewiston, MI
• Providers in Lewiston, 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 Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.