NPIMap

Thunder Bay Community Health Service, Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Hale, MI

NPI 1952960197 · NPPES record last updated Mar 13, 2023

Key facts

NPI
1952960197
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
THUNDER BAY COMMUNITY HEALTH SERVICE, INC
Practice address
311 N Washington St RM TB1
Hale, MI 48739-8516
Phone
(989) 742-4583
Fax
(989) 742-2183
NPI assigned
Jun 11, 2019
Organization subpart
No

Authorized official

Name
Richard Bates
Title
Interim Ceo
Phone
(989) 354-2197

Corporate family (same tax ID) 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Thunder Bay Community Health Service Inc (27 organizations share this tax ID)

Locations

311 N Washington St
Rm TB1
Hale, MI 48739
Phone (989) 742-4583

Specialties & licenses

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

Addresses

Primary practice location

311 N Washington St RM TB1
Hale, MI 48739-8516

Mailing address

PO Box 427
Hillman, MI 49746-0427
Phone (989) 354-2197

Other providers in Hale, MI

All providers in Hale, MI · Federally Qualified Health Center (FQHC) in Michigan

Sources for this page

Verify at the official NPI Registry.