THUNDER BAY COMMUNITY HEALTH SERVICE, INC (NPI# 1053794610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053794610 |
| Entity Type | Organization |
| Organization Name | THUNDER BAY COMMUNITY HEALTH SERVICE, INC |
| Other Organization Name | CHEBOYGAN INVERNESS ACADEMY |
| Practice Address |
7461 N Straits Hwy Cheboygan MI 49721-8558 |
| Mailing Address |
Po Box 427 Hillman MI 49746-0427 |
| Practice Telephone | 2316275211 |
| Practice Fax Number | 9893566524 |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-09-29 |
| Authorized Official Name | MICHELLE STYMA (CEO) |
| Authorized Official Telephone | 9897424583 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Cheboygan Inverness Academy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382677 | Thunder Bay Community Health Service, Inc | Clinic/Center | 609 W Central Ave Rm Tb1, Mackinaw City, MI 49701-9650 | 2019-12-05 |
| 1609435536 | Thunder Bay Community Health Service, Inc | Clinic/Center | 1033 W Huron Ave Rm Tb1, Rogers City, MI 49779-1428 | 2019-06-13 |
| 1952960197 | Thunder Bay Community Health Service, Inc | Clinic/Center | 311 N Washington St Rm Tb1, Hale, MI 48739-8516 | 2019-06-11 |
| 1750864112 | Thunder Bay Community Health Service, Inc | Clinic/Center | 5993 W Sholes St, Wolverine, MI 49799-9549 | 2018-09-12 |
| 1396292777 | Thunder Bay Community Health Service, Inc | Clinic/Center | 13131 Brook St, Wolverine, MI 49799-8406 | 2016-09-02 |
| 1750751392 | Thunder Bay Community Health Service, Inc | Clinic/Center | 1110 8th Street, Mio, MI 48647-9140 | 2015-09-25 |
| 1558730234 | Thunder Bay Community Health Service, Inc | Clinic/Center | 1879 E Miller Rd, Fairview, MI 48621-8705 | 2015-09-23 |
| 1467837336 | Thunder Bay Community Health Service, Inc | Clinic/Center | 4363 S Straits Hwy, Indian River, MI 49749-9457 | 2015-07-21 |
| 1568846574 | Thunder Bay Community Health Service, Inc | Clinic/Center | 6800 Wilson Rd, Indian River, MI 49749-9447 | 2015-07-20 |
| 1124402136 | Thunder Bay Community Health Service, Inc | Clinic/Center | 4580 Montmorency St, Lewiston, MI 49756-7862 | 2015-07-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | THUNDER BAY COMMUNITY HEALTH SERVICE, INCORPORATED | 15774 State St, Hillman, MI 49746-8818 |
| Street Address |
7461 N STRAITS HWY |
| City | CHEBOYGAN |
| State | MI |
| Zip Code | 49721-8558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124505755 | Cheboygan Area High School - Counseling Room | Clinic/Center | 801 W Lincoln Ave, Cheboygan, MI 49721 | 2018-07-26 |
| 1073048542 | Emily K Stevens | Counselor | 520 North Main St., Suite 202, Cheboygan, MI 49721 | 2017-04-21 |
| 1093102311 | Ashley Richards | Physical Therapy Assistant | 428 S. Huron St., Cheboygan, MI 49721 | 2015-04-24 |
| 1750791505 | Walloon Lake Recovery Lodge, LLC | Counselor | 811 Sammons St, Cheboygan, MI 49721 | 2014-05-02 |
| 1891118535 | Bethanie Norton-boss | Occupational Therapist | 4016 W. Us23, Cheboygan, MI 49721 | 2014-01-31 |
| 1457780751 | Alicia Yokom | Physical Therapist | 12550 Goebel Road, Cheboygan, MI 49721 | 2013-11-06 |
| 1902121049 | Shellie Charboneau | Massage Therapist | 321 S. Huron, Cheboygan, MI 49721 | 2010-04-01 |
| 1215269287 | Bay Street Orthopaedics Pllc | Orthopaedic Surgery | 838 South Main, Cheboygan, MI 49721 | 2010-02-02 |
| 1598099137 | Vitalcare Home Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 602 W. Seymour Street, Cheboygan, MI 49721 | 2009-09-30 |
| 1922243138 | Sarah B. Proctor | Acupuncturist | 520 N. Main St, Suite 303, Cheboygan, MI 49721 | 2008-12-03 |
| Find all providers in zip 49721 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124505755 | Cheboygan Area High School - Counseling Room | Clinic/Center | 801 W Lincoln Ave, Cheboygan, MI 49721 | 2018-07-26 |
| 1215438015 | Alcona Citizens for Health, Inc. | Clinic/Center | 740 S Main St Ste 3a, Cheboygan, MI 49721-2220 | 2018-02-27 |
| 1598148157 | Thunder Bay Community Health Service, Inc | Clinic/Center | 440 Garfield Ave, Cheboygan, MI 49721-2011 | 2015-07-01 |
| 1851770762 | Alcona Citizens for Health, Inc | Clinic/Center | 740 S Main St Fl 2, Cheboygan, MI 49721-2220 | 2015-05-26 |
| 1861993669 | Alcona Citizens for Health, Inc. | Clinic/Center | 740 S Main St Ste 2a, Cheboygan, MI 49721-2220 | 2018-02-27 |
| 1770084576 | Alcona Citizens for Health, Inc. | Clinic/Center | 740 S Main St Ste 2c, Cheboygan, MI 49721-2220 | 2018-02-27 |
| 1306244108 | Thunder Bay Community Health Service, Inc | Clinic/Center | 905 W Lincoln Ave, Cheboygan, MI 49721-1858 | 2014-12-10 |
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| 1760080972 | Hackley Community Care Center Inc | Clinic/Center | 1420 Madison St Ste A, Muskegon, MI 49442-5251 | 2020-10-12 |
| 1831706993 | Family Medical Center of Michigan, Inc | Clinic/Center | 503 Washington St Rm 150, Monroe, MI 48161-1309 | 2020-09-23 |
| 1326654666 | Family Medical Center of Michigan,inc | Clinic/Center | 550 E Main St Ste 1001, Hudson, MI 49247-9535 | 2020-09-22 |
| 1922613975 | Hackley Community Care Center Inc | Clinic/Center | 6245 Syers Rd Ste A, Holton, MI 49425-7557 | 2020-09-15 |
| 1700400389 | Northwest Michigan Health Services, Inc. | Clinic/Center | 300 W Broadway Ave Trlr 1, Scottville, MI 49454-1019 | 2020-05-30 |
| 1679195721 | Family Medical Center of Michigan,inc | Clinic/Center | 2740 Collingwood St Ste 100, Detroit, MI 48206-1473 | 2020-05-12 |
| 1235750571 | Great Lakes Bay Health Centers | Clinic/Center | 2300 Veterans Memorial Pkwy, Saginaw, MI 48601-1268 | 2020-04-28 |
| 1053948265 | Upper Great Lakes Family Health Center | Clinic/Center | 1414 W Fair Ave Ste 242, Marquette, MI 49855-5406 | 2020-03-26 |
| 1568096923 | Grace Health, Inc. | Clinic/Center | 825 Capital Ave Ne, Battle Creek, MI 49017-5605 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.