GREAT LAKES BAY HEALTH CENTERS (NPI# 1447804604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447804604 |
Entity Type | Organization |
Organization Name | GREAT LAKES BAY HEALTH CENTERS |
Practice Address |
690 S Trumbull St Bay City MI 48708-7692 |
Mailing Address |
501 Lapeer Ave Saginaw MI 48607-1203 |
Practice Telephone | 9899224900 |
Mailing Telephone | 9897596464 |
Mailing Fax Number | 9893998233 |
Enumeration Date | 2019-07-26 |
Last Update Date | 2019-07-26 |
Authorized Official Name | DAWN CHRISTIAN (PROVIDER ENROLLMENT) |
Authorized Official Telephone | 9897596464 |
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 |
---|---|
Great Lakes Bay Health Centers Bay City South | Other Name - Individual/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 |
690 S TRUMBULL ST |
City | BAY CITY |
State | MI |
Zip Code | 48708-7692 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700820693 | Mukesh Lathia | Psychiatry & Neurology | 690 S Trumbull St, Bay City, MI 48708-7692 | 2006-06-15 |
1194341834 | Great Lakes Bay Health Center | Pharmacy | 690 S Trumbull St, Bay City, MI 48708-7692 | 2020-06-18 |
1689160699 | Rebecca A Gohm | Licensed Practical Nurse | 690 S Trumbull St, Bay City, MI 48708-7692 | 2018-07-03 |
1801387790 | Whitney Ryder | Social Worker | 690 S Trumbull St, Bay City, MI 48708-7692 | 2018-05-25 |
1336644616 | Samantha Sheppard | Technician | 690 S Trumbull St, Bay City, MI 48708-7692 | 2018-03-28 |
1013439827 | Jana Margrette Orr | Nurse Practitioner | 690 S Trumbull St, Bay City, MI 48708-7692 | 2017-07-13 |
1326576919 | Jennifer Brault | Social Worker | 690 S Trumbull St, Bay City, MI 48708-7692 | 2017-05-26 |
1851834121 | Kathryn Coleman | Social Worker | 690 S Trumbull St, Bay City, MI 48708-7692 | 2016-11-18 |
1528514874 | Heather L Owens | Counselor | 690 S Trumbull St, Bay City, MI 48708-7692 | 2016-08-28 |
1649690074 | Mclaren Bay Region | Social Worker | 690 S Trumbull St, Bay City, MI 48708 | 2014-04-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497370399 | Francine Marie Dixon | Pharmacist | 1800 Columbus Ave Ste P, Bay City, MI 48708 | 2020-06-16 |
1417578261 | Kassie L Pagliughi | Counselor | 1100 N. Grant Street, Bay City, MI 48708 | 2020-05-04 |
1346711694 | Connie Lynn Mossner | Physical Therapy Assistant | 2112 16 Th Street, Ste 7, Bay City, MI 48708 | 2018-12-16 |
1275003766 | Great Lakes Bay Health Centers | Clinic/Center | 1821 Mckinley St, Bay City, MI 48708 | 2018-11-28 |
1891204970 | Ronald Lavern Polhill Jr. | Registered Nurse | 701 South Lincoln St., Bay City, MI 48708 | 2017-09-21 |
1447610001 | Jeffrey M Hunt | Nurse Practitioner | 714 S. Trumbull St., Bay City, MI 48708 | 2016-02-25 |
1457762437 | Asim Malik | Emergency Medicine | 1900 Columbus Ave # B203, Bay City, MI 48708 | 2014-05-13 |
1538584768 | Sarah R. Vanparis | Registered Nurse | 1010 N. Madison, Bay City, MI 48708 | 2014-02-25 |
1033549316 | Melissa Rood | Case Manager/Care Coordinator | 1001 Mulholland, Bay City, MI 48708 | 2013-11-22 |
1528498953 | Shannon Rae Ogg | Social Worker | 2110 16th St Ste 7, Bay City, MI 48708 | 2013-11-21 |
Find all providers in zip 48708 |
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 |
---|---|---|---|---|
1275003766 | Great Lakes Bay Health Centers | Clinic/Center | 1821 Mckinley St, Bay City, MI 48708 | 2018-11-28 |
1073703575 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 205 Ida Ave, Bay City, TX 77414-3167 | 2007-07-31 |
1477911154 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 205 Ida Ave, Bay City, TX 77414 | 2016-02-09 |
1548649767 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 101 Avenue F N, Bay City, TX 77414-3167 | 2015-05-20 |
1437489911 | Great Lakes Bay Health Centers | Clinic/Center | 3884 Monitor Road, Bay City, MI 48706-9298 | 2010-01-06 |
1982722039 | Great Lakes Bay Health Centers | Clinic/Center | 3884 Monitor Road, Bay City, MI 48706-9298 | 2007-03-27 |
1881712669 | Great Lakes Bay Health Centers | Clinic/Center | 3175 W Professional Drive, Bay City, MI 48706-2823 | 2007-03-27 |
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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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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.