NPIMap

Organization Active NPI

Great Lakes Bay Health Centers

Doing business as GLBHC Respiratory Clinic

  • Federally Qualified Health Center (FQHC)
  • Saginaw, MI
National Provider Identifier
1154920817
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GREAT LAKES BAY HEALTH CENTERS
Doing business as
GLBHC Respiratory Clinic
Practice address
321 N Warren Ave
Saginaw, MI 48607-1500
Phone
(989) 754-7771
Fax
(989) 754-8792
NPI assigned
Oct 22, 2020
Last updated
Oct 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Dawn Christian
Title
Provider Enrollment
Phone
(989) 759-6464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

321 N Warren Ave
Saginaw, MI 48607-1500

Mailing address

501 Lapeer Ave
Saginaw, MI 48607-1203
Phone (989) 759-6464

Other names 2

  • GLBHC Respiratory Clinic Doing business as
  • Great Lakes Bay Health Centers Warren Ave Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120328000784 MI Part A Provider - Federally Qualified Health Center (FQHC) 2466369046 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saginaw, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154920817. Details of each certification follow.

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.

National Provider Directory

National Provider Directory
Tax ID family
Great Lakes Bay Health Center67 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

Locations

321 N Warren Ave
Saginaw, MI 48607
Phone (989) 754-7771

Ownership & related parties

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.

NameRoleSinceShare
Michael Durussel Individual Corporate DirectorBoard Member Aug 4, 2016
Suzanne Prich Individual Corporate DirectorBoard Member Aug 4, 2016
Albert Martenis Individual Corporate DirectorBoard Member Aug 4, 2016
Deborah Mack Individual Corporate DirectorBoard Member Aug 4, 2016
Brenda M Coughlin Individual Corporate OfficerVice President Aug 4, 2016
Timothy Zlomak Individual Corporate DirectorBoard Member Aug 4, 2016
Jesus Hernandez Individual Corporate DirectorBoard Member Aug 4, 2016
Douglas J Saylor Individual W-2 Managing Employee Aug 4, 2016
Tarshia Lewis Individual Corporate DirectorBoard Member Aug 4, 2016
Dawn Christian Individual Corporate Officer Aug 2, 2016
Lisa Galonska Individual Corporate OfficerInterim President Dec 1, 2011 11%
Carni Applegate Individual Corporate DirectorBoard Member Aug 4, 2016
Sam Pruitt Individual Corporate DirectorBoard Member Aug 4, 2016

Owners & managing parties with NPI records 2

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

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1154920817",
    "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": "486071203",
            "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": "486071500",
            "telephone_number": "989-754-7771",
            "fax_number": "989-754-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES BAY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "989-759-6464"
    },
    "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": "GLBHC Respiratory Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Great Lakes Bay Health Centers Warren Ave",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.