THUNDER BAY COMMUNITY HEALTH SERVICE, INC (NPI# 1285281709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285281709 |
| Entity Type | Organization |
| Organization Name | THUNDER BAY COMMUNITY HEALTH SERVICE, INC |
| Other Organization Name | THUNDER BAY COMMUNITY HEALTH SERVICE, INC - FAIRVIEW |
| Practice Address |
1910 E Miller Rd Fairview MI 48621-8731 |
| Mailing Address |
Po Box 427 Hillman MI 49746-0427 |
| Practice Telephone | 9898485644 |
| Mailing Telephone | 9897424583 |
| Mailing Fax Number | 9897422183 |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-10-15 |
| 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 |
|---|---|
| Thunder Bay Community Health Service, Inc - Fairview | Other Name - Individual/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 |
1910 E MILLER RD |
| City | FAIRVIEW |
| State | MI |
| Zip Code | 48621-8731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639108780 | Mclaren Primary Care | Family Medicine | 1910 E Miller Rd, Fairview, MI 48621-8731 | 2006-07-01 |
| 1134408511 | Mclaren Bay Region | Internal Medicine | 1910 E Miller Rd, Fairview, MI 48621 | 2011-08-16 |
| 1174776207 | Fairview Clinic Plc | Clinic/Center | 1910 E Miller Rd, Fairview, MI 48621-8731 | 2008-11-03 |
| 1396874988 | Susan Lynn Allred | Social Worker | 1910 E Miller Rd, Fairview, MI 48621-8731 | 2007-03-02 |
| 1730197278 | Cheryl Henry | Nurse Practitioner | 1910 E Miller Rd, Fairview, MI 48621-8731 | 2006-08-03 |
| 1225069412 | Rose M Ross | Nurse Practitioner | 1910 E Miller Rd, Fairview, MI 48621-8731 | 2006-07-05 |
| 1770534836 | Hector Carrion | Family Medicine | 1910 E Miller Rd, Fairview, MI 48621-8731 | 2006-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396075602 | Peggy Kay Fortin | Counselor | 1392 Maple Dr, Fairview, MI 48621-8703 | 2010-01-08 |
| 1730177015 | Ausable Valley Continuing Care Retirement Community, Inc. | Nursing Facility/Intermediate Care Facility | 1390 Maple Dr, Fairview, MI 48621-8703 | 2005-10-11 |
| 1033695127 | Alora Ehlert | Occupational Therapist | 1390 Maple Dr, Fairview, MI 48621-8703 | 2018-07-12 |
| 1780187526 | Mayuree Gopal Sawant | Physical Therapist | 1390 Maple Dr, Fairview, MI 48621-8703 | 2018-03-16 |
| 1356339196 | St Joseph Health System | Clinic/Center | 1392 Maple Dr, Fairview, MI 48621-8703 | 2005-10-06 |
| 1558730234 | Thunder Bay Community Health Service, Inc | Clinic/Center | 1879 E Miller Rd, Fairview, MI 48621-8705 | 2015-09-23 |
| 1003253170 | Northsport Physical Therapy & Rehabilitation PC | Physical Therapist | 1968 E Miller Rd, Fairview, MI 48621-8717 | 2013-05-30 |
| 1033145842 | Cherie A Mckenzie | Chiropractor | 1554 N Abbe Rd, Fairview, MI 48621-8719 | 2006-06-23 |
| 1760848162 | Courtney Marie Bolen | Chiropractor | 1554 N Abbe Rd, Fairview, MI 48621-8719 | 2016-01-14 |
| 1467674440 | Fairview Chiropractic Pllc | Chiropractor | 1554 N Abbe Rd, Fairview, MI 48621-8719 | 2007-05-02 |
| Find all providers in zip 48621 | ||||
| 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 |
|---|---|---|---|---|
| 1558730234 | Thunder Bay Community Health Service, Inc | Clinic/Center | 1879 E Miller Rd, Fairview, MI 48621-8705 | 2015-09-23 |
| 1679857007 | Montana Migrant and Seasonal Farmworkers Council, Inc. | Clinic/Center | 35511 County Road 134, Fairview, MT 59221 | 2011-10-04 |
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| 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 |
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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.