| Thunder Bay Community Health Service, Inc | |
|
11899 M 32 Atlanta MI 49709-9374 | |
| (989) 785-4855 | |
| (989) 785-2267 |
| Full Name | Thunder Bay Community Health Service, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11899 M 32, Atlanta, Michigan |
| Authorized Official Name and Position | Rochard Bates (INTERIM CEO) |
| Authorized Official Contact | 9897424583 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thunder Bay Community Health Service, Inc Po Box 427 Hillman MI 49746-0427 Ph: (989) 742-4583 | Thunder Bay Community Health Service, Inc 11899 M 32 Atlanta MI 49709-9374 Ph: (989) 785-4855 |
| NPI Number | 1639123623 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 03/13/2023 |
| Medicare PECOS PAC ID | 0143296772 |
|---|---|
| Medicare Enrollment ID | O20060705000296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639123623 | NPI | - | NPPES |
| 0F06016 | Other | MI | MEDICARE BILL PAY TO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Thunder Bay Community Health Service, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10500 County Road 489, Atlanta, MI 49709 Phone: 989-785-4877 | |
Thunder Bay Community Health Service, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11899 M 32, Atlanta, MI 49709 Phone: 989-785-4855 Fax: 989-785-2267 |