THUNDER BAY COMMUNITY HEALTH SERVICE, INC (NPI# 1144603705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144603705 |
| Entity Type | Organization |
| Organization Name | THUNDER BAY COMMUNITY HEALTH SERVICE, INC |
| Other Organization Name | HILLMAN COMMUNITY SCHOOLS - HIGH SCHOOL |
| Practice Address |
26042 M 32 S Hillman MI 49746-9788 |
| Mailing Address |
Po Box 427 Hillman MI 49746-0427 |
| Practice Telephone | 9897424538 |
| 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 |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Hillman Community Schools - High School | 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 |
26042 M 32 S |
| City | HILLMAN |
| State | MI |
| Zip Code | 49746-9788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437426731 | Thunder Bay Community Health Service, Inc | Clinic/Center | 631 Caring Street, Hillman, MI 49746 | 2011-11-30 |
| 1659379808 | Richard Neal Olree Jr. | Chiropractor | 311 State Street, Hillman, MI 49746 | 2005-07-12 |
| 1629107552 | Thunder Bay Community Health Service, Inc | Family Medicine | 15774 State Street, Hillman, MI 49746 | 2007-03-05 |
| 1215983556 | Amy L Kane | Nurse Practitioner | 15774 State St, Hillman, MI 49746-0427 | 2006-05-26 |
| 1942253851 | Thunder Bay Community Health Service, Inc | Clinic/Center | 15774 Sate Street, Hillman, MI 49746-0427 | 2006-05-19 |
| 1669681748 | Jemellee Perpetua Jacala-tadian | Family Medicine | 15774 State Street, Hillman, MI 49746-0427 | 2007-05-22 |
| 1104951938 | Rebecca N Litzner | Social Worker | 15774 State Street, Hillman, MI 49746-0427 | 2007-02-22 |
| 1003964255 | Carolyn S Koppenol | Psychiatry & Neurology | 15774 State Street, Hillman, MI 49746-0427 | 2007-01-06 |
| 1538404660 | Ruth Chew | Obstetrics & Gynecology | 18600 Red Pine Dr, Hillman, MI 49746-7920 | 2012-11-29 |
| 1033691175 | Abigail R Macarthur | Physician Assistant | 15774 State St, Hillman, MI 49746-7961 | 2018-09-05 |
| Find all providers in zip 49746 | ||||
| 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 |
|---|---|---|---|---|
| 1437426731 | Thunder Bay Community Health Service, Inc | Clinic/Center | 631 Caring Street, Hillman, MI 49746 | 2011-11-30 |
| 1942253851 | Thunder Bay Community Health Service, Inc | Clinic/Center | 15774 Sate Street, Hillman, MI 49746-0427 | 2006-05-19 |
| 1861914475 | Thunder Bay Community Health Service, Inc | Clinic/Center | 15774 State St, Hillman, MI 49746-7961 | 2017-07-14 |
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| 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 |
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| 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.