| Great Lakes Bay Health Centers Manchester | |
|
4800 Esch Road Manchester Migrant Camp Manchester MI 48158 | |
| (989) 759-6464 | |
| (989) 399-8233 |
| Full Name | Great Lakes Bay Health Centers Manchester |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4800 Esch Road, Manchester, Michigan |
| Authorized Official Name and Position | Lisa Galonaska (VICE PRESIDENT) |
| Authorized Official Contact | 9897596464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Bay Health Centers Manchester 501 Lapeer Saginaw MI 48607-1208 Ph: (989) 759-6464 | Great Lakes Bay Health Centers Manchester 4800 Esch Road Manchester Migrant Camp Manchester MI 48158 Ph: (989) 759-6464 |
| NPI Number | 1548464951 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 09/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548464951 | NPI | - | NPPES |
| 0G36111 | Other | 0G36111 MEDICARE BILL PAY TO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Michigan) | Primary |
Manchester Eye Care Center, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Riverside Dr, Manchester, MI 48158 Phone: 734-428-2020 Fax: 734-428-8955 | |
Evelyn Eccles, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 W Main St, Box 570, Manchester, MI 48158 Phone: 734-428-8381 Fax: 734-428-9066 |