Thunder Bay Community Health Service, Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Lewiston, MI

NPI 1235065111 · NPPES record last updated Jun 30, 2026

Key facts

NPI
1235065111
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
THUNDER BAY COMMUNITY HEALTH SERVICE, INC
Practice address
3040 Bourn St
Lewiston, MI 49756-8134
Phone
(989) 354-2197
Fax
(989) 318-4606
NPI assigned
Jun 19, 2026
Organization subpart
No

Authorized official

Name
Richard Dale Bates
Title
Ceo
Phone
(989) 354-2197

Corporate family (same tax ID) 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

National Provider Directory

Tax ID family
Thunder Bay Community Health Service Inc (27 organizations share this tax ID)

Locations

3040 Bourn St
Lewiston, MI 49756
Phone (989) 731-7777

Specialties & licenses

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

Addresses

Primary practice location

3040 Bourn St
Lewiston, MI 49756-8134

Mailing address

PO Box 427
Hillman, MI 49746-0427
Phone (989) 354-2197

Other providers in Lewiston, MI

All providers in Lewiston, MI · Federally Qualified Health Center (FQHC) in Michigan

Sources for this page

Verify at the official NPI Registry.