Great Lakes Bay Health Centers
Organization Active NPI Federally Qualified Health Center (FQHC) · Manchester, MI
NPI 1548464951 · NPPES record last updated Sep 19, 2016
Key facts
- NPI
- 1548464951
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- GREAT LAKES BAY HEALTH CENTERS
- Practice address
- 4800 Esch Road
Manchester Migrant Camp
Manchester, MI 48158 - Phone
- (989) 759-6464
- Fax
- (989) 399-8233
- NPI assigned
- Jun 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Lisa Galonaska
- Title
- Vice President
- Phone
- (989) 759-6464
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | MI | Yes |
Addresses
Primary practice location
4800 Esch Road
Manchester Migrant Camp
Manchester, MI 48158
Mailing address
501 Lapeer
Saginaw, MI 48607-1208
Phone (989) 759-6464
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0G36111 | Other | 0G36111 MEDICARE BILL PAY TO |
Other names
- Great Lakes Bay Health Centers Manchester
Other providers in Manchester, MI
- Miranda Eberle
- Evelyn Eccles
- Evelyn Eccles, MD
- Claudia J Fall
- Brooke Fuller
- Debra Hauser
- Gary V Haynes
- Healthy Smiles Dental Care LLC
- Theresa Herron
- Heather Huber
All providers in Manchester, MI · Federally Qualified Health Center (FQHC) in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.