Active NPI
Thunder Bay Community Health Service, Inc
Doing business as Inland Lakes Elementary School
- Federally Qualified Health Center (FQHC)
- Indian River, MI
National Provider Identifier
1568846574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- THUNDER BAY COMMUNITY HEALTH SERVICE, INC
- Doing business as
- Inland Lakes Elementary School
- Practice address
- 6800 Wilson Rd
Indian River, MI 49749-9447 - Phone
- (989) 354-2197
- NPI assigned
- Jul 20, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Doug Kreis
- Title
- Interim Ceo
- Phone
- (989) 742-4583
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
6800 Wilson Rd
Indian River, MI 49749-9447
Mailing address
PO Box 427
Hillman, MI 49746-0427
Phone (989) 354-2197
Other names 1
- Inland Lakes Elementary School
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Indian River, MI
- NPI 1912412164
NPI Registry JSON
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": "1568846574",
"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": "6800 WILSON RD",
"city": "INDIAN RIVER",
"state": "MI",
"postal_code": "497499447",
"telephone_number": "989-354-2197"
}
],
"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": "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
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Inland Lakes Elementary School",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Inland Lakes Elementary School",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Indian River, MI
- Kathryn A Snow-McCaffrey, APRN MSN GNP
- Alisha Stapor, LPC, NCC, LLMFT
- Sarah Ellen Stearns, NP
- Kirk Paul Swabash, D.O.
- Thunder Bay Community Health Service, Inc (Inland Lakes Secondary School)
- Jessica Jean Trudeau, LLMSW
- Sharon Vadovic, RPH
- Benjamin Vanos, DO
- Michael Louis Wetmore
- Susan Markey Whitener, MA LPC
Sources for this page
- 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.