Great Lakes Bay Health Centers Imlay City | |
6800 Newark Rd Suite 200 Imlay City MI 48444-9656 | |
(810) 724-3201 | |
(810) 724-4605 |
Full Name | Great Lakes Bay Health Centers Imlay City |
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Speciality | Clinic/Center |
Location | 6800 Newark Rd, Imlay City, Michigan |
Authorized Official Name and Position | Lisa Galonska (VICE PRESIDENT) |
Authorized Official Contact | 9897596464 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Great Lakes Bay Health Centers Imlay City 501 Lapeer Saginaw MI 48607 Ph: (989) 759-6464 | Great Lakes Bay Health Centers Imlay City 6800 Newark Rd Suite 200 Imlay City MI 48444-9656 Ph: (810) 724-3201 |
NPI Number | 1710181128 |
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Provider Enumeration Date | 06/12/2007 |
Last Update Date | 09/19/2016 |
Medicare PECOS PAC ID | 2466369046 |
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Medicare Enrollment ID | O20120131000625 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710181128 | NPI | - | NPPES |
0G36111 | Other | MI | 0G36111 MEDICARE PAY BILL TO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Michigan) | Primary |
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