THUNDER BAY COMMUNITY HEALTH SERVICE, INC (NPI# 1528593175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528593175 |
| Entity Type | Organization |
| Organization Name | THUNDER BAY COMMUNITY HEALTH SERVICE, INC |
| Other Organization Name | THUNDER BAY PHARMACY ROGERS CITY |
| Practice Address |
205 S Bradley Hwy Rogers City MI 49779-2137 |
| Practice Telephone | 9897345071 |
| Practice Fax Number | 9897345070 |
| Mailing Telephone | 9897345071 |
| Mailing Fax Number | 9897345070 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |
| Authorized Official Name | LORI WINEMAN (PHARMACY DIRECTOR/PHARMACIST) |
| Authorized Official Telephone | 9897855535 |
| Authorized Official Credential | RPHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301011155 | MI | Suppliers |
| Other Name | Type Code |
|---|---|
| Thunder Bay Pharmacy Rogers City | 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 |
205 S BRADLEY HWY |
| City | ROGERS CITY |
| State | MI |
| Zip Code | 49779-2137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699773580 | Angela S Mowery | Family Medicine | 205 S Bradley Hwy, Rogers City, MI 49779-2137 | 2005-07-13 |
| 1043789407 | Erin K Bollinger | Pharmacist | 205 S Bradley Hwy, Rogers City, MI 49779-2137 | 2018-11-15 |
| 1710355490 | Jessie Lalonde | Optometrist | 205 S Bradley Hwy, Rogers City, MI 49779-2137 | 2015-09-11 |
| 1679949135 | Lindsay Humphrey | Social Worker | 205 S Bradley Hwy, Rogers City, MI 49779-2137 | 2015-08-19 |
| 1992112346 | Cody Michael Lawnichak | Physician Assistant | 205 S Bradley Hwy, Rogers City, MI 49779-2137 | 2014-07-17 |
| 1851705602 | Manuel De Jesus Hernandez | Family Medicine | 205 S Bradley Hwy, Rogers City, MI 49779-2137 | 2014-06-19 |
| 1295008217 | Jill P Barsen | Physician Assistant | 205 S Bradley Hwy, Rogers City, MI 49779-2137 | 2012-02-22 |
| 1447206776 | Michael B Fairbanks | Family Medicine | 205 S Bradley Hwy, Rogers City, MI 49779-2137 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689711772 | Alpena Regional Medical Center | General Acute Care Hospital | 2402 Bradley Highway, Suite 2, Rogers City, MI 49779 | 2007-01-30 |
| 1023173093 | James E Ryan | Dentist | 216 S Third St, Rogers City, MI 49779 | 2006-12-27 |
| 1477591691 | Thunder Bay Community Health Service, Inc | Clinic/Center | 205 S Brandley Hwy, Rogers City, MI 49779 | 2006-06-02 |
| 1245734516 | Melissa Zinke | Physical Therapist | 201 S Bradley Hwy, Suite 6, Rogers City, MI 49779 | 2018-03-21 |
| 1295108579 | Tricia Kowalski | Occupational Therapist | 555 N Bradley Hwy, Rogers City, MI 49779 | 2015-11-09 |
| 1801162649 | Thunder Bay Community Health Service, Inc | Clinic/Center | 555 N Bradley Hwy, Rogers City, MI 49779 | 2012-03-27 |
| 1316003890 | Amy Elizabeth Lesniowski | Occupational Therapist | 443 N 1st St, Rogers City, MI 49779-1303 | 2006-12-29 |
| 1780049528 | Peacock Family Chiropractic, Pllc | Chiropractor | 408 N 3rd St, Rogers City, MI 49779-1309 | 2015-12-21 |
| 1043527195 | Russell A Fairbanks, D.c.,p.c. | Chiropractor | 408 N Third St, Rogers City, MI 49779-1309 | 2010-09-10 |
| 1528018355 | Russell Austin Fairbanks | Chiropractor | 408 N Third St, Rogers City, MI 49779-1309 | 2006-05-11 |
| Find all providers in zip 49779 | ||||
| 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 |
|---|---|---|---|---|
| 1790896983 | Gajewski Inc | Pharmacy | 229 N Third St, Rogers City, MI 49779-1610 | 2006-08-31 |
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|---|---|---|---|---|
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| 1104424530 | Advance Care Rx, LLC | Pharmacy | 500 N Cass St, Berrien Springs, MI 49103-1069 | 2020-10-16 |
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1881292001 | Healthwatch Pharmacy Inc | Pharmacy | 1375 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1421 | 2020-10-09 |
| 1225645781 | Good Choice Pharmacy LLC | Pharmacy | 6750 E 10 Mile Rd, Center Line, MI 48015-1166 | 2020-09-29 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1851905707 | Skidway Pharmacy LLC | Pharmacy | 1830 Greenwood Rd, Prescott, MI 48756-8627 | 2020-09-08 |
| 1023621190 | Azam Mohsen Mesleh | Pharmacy | 6811 Theisen St, Dearborn, MI 48126-1927 | 2020-08-28 |
| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
| City | ROGERS CITY |
| Zip Code | 49779 |
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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.