THUNDER BAY COMMUNITY HEALTH SERVICE, INC


Address: 905 W Lincoln Ave, Cheboygan, MI 49721-1858
Phone: 9893542197

THUNDER BAY COMMUNITY HEALTH SERVICE, INC (NPI# 1306244108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306244108
Entity Type Organization
Organization Name THUNDER BAY COMMUNITY HEALTH SERVICE, INC
Other Organization Name CHEBOYGAN INTERMEDIATE SCHOOL
Practice Address 905 W Lincoln Ave
Cheboygan
MI 49721-1858
Mailing Address Po Box 427
Hillman
MI 49746-0427
Practice Telephone 9893542197
Practice Fax Number 9893566524
Mailing Telephone 9893542197
Mailing Fax Number 9893566524
Enumeration Date 2014-12-10
Last Update Date 2014-12-10
Authorized Official Name MICHELLE STYMA (CEO)
Authorized Official Telephone 9897424583
Is Organization Subpart N

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Cheboygan Intermediate School Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 905 W LINCOLN AVE
City CHEBOYGAN
State MI
Zip Code 49721-1858

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326473976 Amy Marie Brewbaker Nurse Practitioner 905 W Lincoln Ave, Cheboygan, MI 49721-1858 2013-09-13

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
1053794610 Thunder Bay Community Health Service, Inc Clinic/Center 7461 N Straits Hwy, Cheboygan, MI 49721-8558 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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427658244 Hackley Community Care Center Inc Clinic/Center 3113 Pontaluna Rd Ste A, Fruitport, MI 49415-9600 2020-10-30
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
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Competitor

Search similar providers

City CHEBOYGAN
Zip Code 49721

Improve Information

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Dataset Information

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.

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