GREAT LAKES BAY HEALTH CENTERS (NPI# 1164502803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164502803 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES BAY HEALTH CENTERS |
| Other Organization Name | GREAT LAKES BAY HEALTH CENTERS PHARMACY SAGINAW |
| Practice Address |
1522 Janes Ave Saginaw MI 48601-1819 |
| Mailing Address |
501 Lapeer Ave Saginaw MI 48607-1203 |
| Practice Telephone | 9897553633 |
| Practice Fax Number | 9897553614 |
| Mailing Telephone | 9897596400 |
| Mailing Fax Number | 9897596423 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2017-11-14 |
| Authorized Official Name | BRENDA COUGHLIN (PRESIDENT/CEO) |
| Authorized Official Telephone | 9897553633 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301007375 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2045515 | 01 |
| Other Name | Type Code |
|---|---|
| Great Lakes Bay Health Centers Pharmacy Saginaw | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235750571 | Great Lakes Bay Health Centers | Clinic/Center | 2300 Veterans Memorial Pkwy, Saginaw, MI 48601-1268 | 2020-04-28 |
| 1386290153 | Great Lakes Bay Health Centers | Clinic/Center | 3021 Court St, Saginaw, MI 48602-3620 | 2019-08-16 |
| 1073169835 | Great Lakes Bay Health Centers | Clinic/Center | 4691 Bearcat Blvd, Bridgeport, MI 48722-9581 | 2019-08-16 |
| 1275003766 | Great Lakes Bay Health Centers | Clinic/Center | 1821 Mckinley St, Bay City, MI 48708 | 2018-11-28 |
| 1275922411 | Great Lakes Bay Health Centers | Clinic/Center | 2110 S M 76 Ste 9, West Branch, MI 48661-8737 | 2015-01-12 |
| 1134491202 | Great Lakes Bay Health Centers | Clinic/Center | 1555 Industrial Drive, Owosso, MI 48867 | 2012-02-03 |
| 1902136385 | Great Lakes Bay Health Centers | Clinic/Center | 1015 Commerce Dr, Vassar, MI 48768-9589 | 2010-01-06 |
| 1023348406 | Great Lakes Bay Health Centers | Clinic/Center | 2424 N. Outer Drive, Saginaw, MI 48601-1208 | 2010-01-06 |
| 1649400284 | Great Lakes Bay Health Centers | Clinic/Center | 955 Commerce, Vassar, MI 48768-1208 | 2009-07-16 |
| 1548407992 | Great Lakes Bay Health Centers | Clinic/Center | 239 State Road, Suite A, Owosso, MI 48867-9075 | 2009-01-07 |
| Street Address |
1522 JANES AVE |
| City | SAGINAW |
| State | MI |
| Zip Code | 48601-1819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033113444 | Sara Reid Hinderer | Nurse Practitioner | 1522 Janes Ave, Saginaw, MI 48601-1819 | 2005-06-13 |
| 1124660535 | Rochellda Alexander | Social Worker | 1522 Janes Ave, Saginaw, MI 48601-1819 | 2019-10-17 |
| 1558929125 | Sarah Nicole Henninger | Social Worker | 1522 Janes Ave, Saginaw, MI 48601-1819 | 2019-05-30 |
| 1093228900 | Katelyn Jo Barton | Nurse Practitioner | 1522 Janes Ave, Saginaw, MI 48601-1819 | 2017-11-14 |
| 1811412042 | Salynda Diaz | Social Worker | 1522 Janes Ave, Saginaw, MI 48601-1819 | 2017-08-09 |
| 1386181428 | Chelsea Cascaddan | Social Worker | 1522 Janes Ave, Saginaw, MI 48601-1819 | 2017-01-27 |
| 1154876522 | Onyinyechi A Nweke | Pediatrics | 1522 Janes Ave, Saginaw, MI 48601-1819 | 2016-08-16 |
| 1972984870 | Takesha Essex | Nurse Practitioner | 1522 Janes Ave, Saginaw, MI 48601-1819 | 2015-06-16 |
| 1124414966 | Teri Lynn Harrison | Nurse Practitioner | 1522 Janes Ave, Saginaw, MI 48601-1819 | 2015-04-08 |
| 1568850196 | Trisha Taylor | Nurse Practitioner | 1522 Janes Ave, Saginaw, MI 48601-1819 | 2015-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629570197 | Amanda Lynn Clothier | Occupational Therapist | 800 S Washington, Saginaw, MI 48601 | 2018-03-01 |
| 1891206959 | The Young Mens Christian Association of Saginaw | Health Educator | 1915 Fordney St., Saginaw, MI 48601 | 2017-10-17 |
| 1457860330 | Thassa Antwinette Ervin | Nurse's Aide | 2918 Arlington Dr, Saginaw, MI 48601 | 2017-09-23 |
| 1790200053 | Deana Marie Warner | Occupational Therapy Assistant | 2454 Madsen Rd., Saginaw, MI 48601 | 2017-08-08 |
| 1821522459 | Home Care Central Inc | Home Health | 4789 Janes Road, Saginaw, MI 48601 | 2017-04-20 |
| 1194199497 | Demartez Lamar Couch | Contractor | 1474 Chatham Dr., Saginaw, MI 48601 | 2015-11-24 |
| 1831568997 | First Choice Staffing Agency, LLC | Hospice Care, Community Based | 339 S. 25th St., Saginaw, MI 48601 | 2015-09-18 |
| 1801212204 | Marla Katherine Price | Dietitian, Registered | 800 S. Washington, St. Marys of Michigan, Saginaw, MI 48601 | 2014-03-10 |
| 1346591328 | Lance Louis-john Redwantz | Dietitian, Registered | 1522 Janes Street, Saginaw, MI 48601 | 2012-10-01 |
| 1386900785 | Mark Dennis Szczepanski | Social Worker | 1040 Towerline Rd, Saginaw, MI 48601 | 2012-04-10 |
| Find all providers in zip 48601 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144709767 | Westside Drugs LLC | Pharmacy | 100 S Michigan Ave Ste 1, Saginaw, MI 48602-2054 | 2018-08-14 |
| 1164871448 | Arogya Pharmacy Inc | Pharmacy | 5470 Gratiot Rd, Saginaw, MI 48638-6038 | 2016-06-08 |
| 1760885297 | Kali Nagabalaji | Pharmacy | 200 W J Boaz Rd, Ste 100, Saginaw, TX 76179 | 2014-09-29 |
| 1801022702 | Michigan Specialty Pharmacy LLC | Pharmacy | 301 E Genesee Ave Suite #100, Saginaw, MI 48607 | 2009-06-05 |
| 1891878211 | Faler Pharmacy Inc | Pharmacy | 1806 Court St, Saginaw, MI 48602 | 2006-10-21 |
| 1518061324 | Cvs Pharmacy Inc | Pharmacy | 1301 N Saginaw Blvd, Saginaw, TX 76179-5095 | 2006-09-12 |
| 1760497820 | Walgreen Co | Pharmacy | 833 N Saginaw Blvd, Saginaw, TX 76179-1234 | 2006-07-29 |
| 1063066041 | Apogee Pharmacy | Pharmacy | 608 E Bailey Boswell Rd Ste 140, Saginaw, TX 76131-3570 | 2019-07-29 |
| 1376010223 | Great Lakes Bay Health Centers | Pharmacy | 3023 Davenport Ave, Saginaw, MI 48602-3652 | 2018-10-30 |
| 1255882981 | Superior Pharmacy LLC | Pharmacy | 333 S Michigan Ave, Saginaw, MI 48602-2024 | 2016-10-18 |
| Find all providers in SAGINAW | ||||
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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.