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

Hillman Community Schools - High School

Practice address

26042 M 32 S
Hillman, MI 49746-9788

Phone

(989) 742-4538

NPI assigned

Jul 1, 2015

Last updated

Mar 13, 2023By 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

Richard Bates

Title

Interim Ceo

Phone

(989) 742-4583

Specialties & licenses 2

Addresses

Other names 1

• Hillman Community Schools - High School Doing business as

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1144603705",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26042 M 32 S",
            "city": "HILLMAN",
            "state": "MI",
            "postal_code": "497469788",
            "telephone_number": "989-742-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUNDER BAY COMMUNITY HEALTH SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "INTERIM 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
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillman Community Schools - High School",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hillman Community Schools - High School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shasta Sitton, MS, LMHC, LPC
• Jacek P Szydlo, PTA
• Melanie Thomas
• Thunder Bay Community Health Service, Inc
• Thunder Bay Community Health Service, Inc
• Thunder Bay Community Health Service, Inc
• Thunder Bay Community Health Service, Inc
• Thunder Bay Community Health Service, Inc
• Thunder Bay Community Health Service, Inc (Thunder Bay Pharmacy Hillman)
• Thunder Bay Community Health Service, Inc

• Federally Qualified Health Center (FQHC) in Hillman, MI
• Providers in Hillman, 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 Mar 13, 2023; 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.