Thunder Bay Community Health Service, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

THUNDER BAY COMMUNITY HEALTH SERVICE, INC

Practice address

10500 County Road 489
Atlanta, MI 49709

Phone

(989) 785-4877

NPI assigned

Mar 26, 2012

Last updated

Jul 30, 2026By 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

Doug Kreis

Title

Ceo

Phone

(989) 742-4583

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Thunder Bay Community Health Service, Inc

  • Federally Qualified Health Center (FQHC)
  • Hillman, MI
  • NPI 1063788909

  O20040907000045

  Same enrollment
• Thunder Bay Community Health Service, Inc

  dba Rogers City Elementary School

  • Federally Qualified Health Center (FQHC)
  • Rogers City, MI
  • NPI 1154697092

  O20040907000045

  Same enrollment
• Thunder Bay Community Health Service, Inc

  • Federally Qualified Health Center (FQHC)
  • Hillman, MI
  • NPI 1629107552

  O20040907000045

  Same enrollment
• Thunder Bay Community Health Service, Inc

  • Federally Qualified Health Center (FQHC)
  • Onaway, MI
  • NPI 1821228958

  O20040907000045

  Same enrollment
• Thunder Bay Community Health Service, Inc

  • Federally Qualified Health Center (FQHC)
  • Hillman, MI
  • NPI 1942253851

  O20040907000045

  Same enrollment

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Veronica Ann Jung, M.S.W.

  • Social Worker
  • Hillman, MI
  • NPI 1497982607
  NPD

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1881960722",
    "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": "989-742-4583",
            "fax_number": "989-742-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 COUNTY ROAD 489",
            "city": "ATLANTA",
            "state": "MI",
            "postal_code": "49709",
            "telephone_number": "989-785-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUNDER BAY COMMUNITY HEALTH SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "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": "CEO",
        "authorized_official_telephone_number": "989-742-4583"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nickole L Stein-Fisher, LLMSW
• Jennifer Ann Suszek, HYGIENISTS
• Jeffrey A Taylor, D.D.S.
• Thunder Bay Community Health Service, Inc (Thunder Bay Pharmacy)
• Thunder Bay Community Health Service, Inc
• Thunder Bay Community Health Service, Inc
• Tri -Township Ambulance Service
• Jensen Leigh Vanpamel, LMSW
• Korenna Nicholle Whitney, LLPC
• Lori M Wineman, RPH

• Federally Qualified Health Center (FQHC) in Atlanta, MI
• Providers in Atlanta, 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 Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.