THUNDER BAY COMMUNITY HEALTH SERVICE, INC (NPI# 1366825879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366825879 |
| Entity Type | Organization |
| Organization Name | THUNDER BAY COMMUNITY HEALTH SERVICE, INC |
| Other Organization Name | PRESQUE ISLE ACADEMY II |
| Practice Address |
20830 Cedar Street Onaway MI 49765-0731 |
| Mailing Address |
Po Box 427 Hillman MI 49746-0427 |
| Practice Telephone | 9893542197 |
| Practice Fax Number | 9893566524 |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-11-18 |
| 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 |
|---|---|
| Presque Isle Academy II | 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 |
20830 CEDAR STREET |
| City | ONAWAY |
| State | MI |
| Zip Code | 49765-0731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689777237 | Onaway Area Ambulance Service | Ambulance | 20734 Industrial Park, Onaway, MI 49765 | 2006-09-07 |
| 1891740379 | Theodore K Reahm | Family Medicine | 3570 1/2 N Veterens Drive, Onaway, MI 49765 | 2006-05-23 |
| 1316916083 | Gary E Willey | Chiropractor | 102 S Veterans Drive, Onaway, MI 49765 | 2006-03-16 |
| 1710371877 | Cori Williams | Nurse Practitioner | 21258 W M 68 Hwy, Onaway, MI 49765 | 2015-03-26 |
| 1477884831 | Thunder Bay Community Health Service, Inc. | Clinic/Center | 4549 M 33, Onaway, MI 49765 | 2010-01-26 |
| 1164627709 | Onaway Chiropractic Center PC | Chiropractor | 20417 E State St, Onaway, MI 49765 | 2007-06-15 |
| 1427040898 | Douglas A Olree | Chiropractor | 20417 E State St, Box 74, Onaway, MI 49765-0074 | 2005-08-22 |
| 1093720823 | Great Lakes Medical Care Inc | Pharmacy | 20724 State St, Onaway, MI 49765-0100 | 2006-07-30 |
| 1609004951 | Leah H Arnold | Social Worker | 4549 M 33, Onaway, MI 49765-0307 | 2009-06-25 |
| 1952571192 | Douglas A.s. King | Family Medicine | 21258 W M 68 Hwy, Onaway, MI 49765-0722 | 2008-03-04 |
| Find all providers in zip 49765 | ||||
| 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 |
|---|---|---|---|---|
| 1477884831 | Thunder Bay Community Health Service, Inc. | Clinic/Center | 4549 M 33, Onaway, MI 49765 | 2010-01-26 |
| 1821228958 | Thunder Bay Community Health Service, Inc | Clinic/Center | 4549 M 33, Onaway, MI 49765-9623 | 2009-07-23 |
| 1508804246 | Thunder Bay Community Health Service, Inc | Clinic/Center | 21258 M 68 Hwy, Onaway, MI 49765-9692 | 2006-06-03 |
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| 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.