Thunder Bay Community Health Service, Inc | |
245 E Third St Hillman MI 49746-9213 | |
(989) 742-4537 | |
(989) 742-4298 |
Full Name | Thunder Bay Community Health Service, Inc |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 245 E Third St, Hillman, Michigan |
Authorized Official Name and Position | Richard Bates (INTERIM CEO) |
Authorized Official Contact | 9897424583 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Thunder Bay Community Health Service, Inc P.o. Box 427 Hillman MI 49746-0427 Ph: (989) 742-4583 | Thunder Bay Community Health Service, Inc 245 E Third St Hillman MI 49746-9213 Ph: (989) 742-4537 |
NPI Number | 1063788909 |
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Provider Enumeration Date | 03/26/2012 |
Last Update Date | 03/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063788909 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
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: 631 Caring Street, Hillman, MI 49746 Phone: 989-354-2197 Fax: 989-356-6524 | |
Thunder Bay Community Health Service, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15774 State Street, Hillman, MI 49746 Phone: 989-742-4583 Fax: 989-742-4298 | |
Thunder Bay Community Health Service, Inc Mobile Unit 1 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15774 State St, Hillman, MI 49746 Phone: 989-742-4583 Fax: 989-742-2183 | |
Thunder Bay Community Health Service, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15774 Sate Street, Hillman, MI 49746 Phone: 989-742-4583 Fax: 989-742-4298 |