| Thunder Bay Community Health Service, Inc | |
|
205 S Brandley Hwy Rogers City MI 49779 | |
| (989) 734-2052 | |
| (989) 734-7390 |
| Full Name | Thunder Bay Community Health Service, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 205 S Brandley Hwy, Rogers City, Michigan |
| Authorized Official Name and Position | Richard 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 205 S Brandley Hwy Rogers City MI 49779 Ph: (989) 734-2052 |
| NPI Number | 1477591691 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 03/13/2023 |
| Medicare PECOS PAC ID | 0143296772 |
|---|---|
| Medicare Enrollment ID | O20060111000563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477591691 | NPI | - | NPPES |
| 0F060160 | Other | MI | MEDICARE BILL PAY TO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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