Great Lakes Bay Health Centers

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

GREAT LAKES BAY HEALTH CENTERS

Doing business as

Great Lakes Bay Health Centers Wolverine Vassar #2

Practice address

955 Commerce
Vassar, MI 48768-1208

Phone

(989) 759-6464

NPI assigned

Jul 16, 2009

Last updated

Dec 2, 2021By 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

Lisa Galonska

Title

Vice President

Phone

(989) 759-6464

Specialties & licenses 2

Addresses

Other names 1

• Great Lakes Bay Health Centers Wolverine Vassar #2 Doing business as

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1649400284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 LAPEER",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486078954",
            "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": "955 COMMERCE",
            "city": "VASSAR",
            "state": "MI",
            "postal_code": "487681208",
            "telephone_number": "989-759-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES BAY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "GALONSKA",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "989-759-6464"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Lakes Bay Health Centers Wolverine Vassar #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Toni Folsom
• Ronald Todd Foskett, RPH
• James R Furbush, M.A., LBSW
• Michael J. Gillespie, M.ED, CAADC, LMSW
• Great Lakes Bay Health Centers (WolverineVassarHouseDental)
• Great Lakes Bay Health Centers
• Great Lakes Bay Health Centers (Great Lakes Bay Health Centers WolverineHumanVassar/Dental)
• Greater Thumb Eyecare PLC
• Harmony Hospice Services LLC
• Ezekiel James Hill, PHARMD

• Federally Qualified Health Center (FQHC) in Vassar, MI
• Providers in Vassar, 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 Dec 2, 2021; 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.