NPIMap

Organization Active NPI

Great Lakes Bay Health Centers

Doing business as Great Lakes Bay Health Centers WolverineHumanVassar/Dental

  • Federally Qualified Health Center (FQHC)
  • Vassar, MI
National Provider Identifier
1902136385
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
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 WolverineHumanVassar/Dental
Practice address
1015 Commerce Dr
Vassar, MI 48768-9589
Phone
(989) 823-3010
Fax
(989) 823-9243
NPI assigned
Jan 6, 2010
Last updated
Jun 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Galonaska
Title
Vice President
Phone
(989) 759-6464

Specialties & licenses 1

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

Addresses

Primary practice location

1015 Commerce Dr
Vassar, MI 48768-9589

Mailing address

501 Lapeer
Saginaw, MI 48607-1208
Phone (989) 759-6464

Other names 1

  • Great Lakes Bay Health Centers WolverineHumanVassar/Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Great Lakes Bay Health Centers67 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1902136385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 LAPEER",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486071208",
            "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": "1015 COMMERCE DR",
            "city": "VASSAR",
            "state": "MI",
            "postal_code": "487689589",
            "telephone_number": "989-823-3010",
            "fax_number": "989-823-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES BAY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "GALONASKA",
        "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": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Lakes Bay Health Centers WolverineHumanVassar/Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Great Lakes Bay Health Centers WolverineHumanVassar/Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vassar, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.