THUNDER BAY COMMUNITY HEALTH SERVICE, INC (NPI# 1801162649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801162649 |
| Entity Type | Organization |
| Organization Name | THUNDER BAY COMMUNITY HEALTH SERVICE, INC |
| Practice Address |
555 N Bradley Hwy Rogers City MI 49779 |
| Mailing Address |
P.o. Box 427 Hillman MI 49746-0427 |
| Practice Telephone | 9897342151 |
| Mailing Telephone | 9893542197 |
| Mailing Fax Number | 9893566524 |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2018-05-14 |
| Authorized Official Name | MICHELLE T STYMA (CEO) |
| Authorized Official Telephone | 9897244583 |
| 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 |
| 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 |
555 N BRADLEY HWY |
| City | ROGERS CITY |
| State | MI |
| Zip Code | 49779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487654547 | Tendercare Michigan Inc | Rehabilitation Hospital | 555 N Bradley Hwy, Suite C, Rogers City, MI 49779-1539 | 2005-07-29 |
| 1780165266 | Emilie P Cline | Speech-Language Pathologist | 555 N Bradley Hwy, Rogers City, MI 49779-1539 | 2018-08-23 |
| 1679090989 | Rogers City Opco, LLC | Skilled Nursing Facility | 555 N Bradley Hwy, Rogers City, MI 49779-1539 | 2017-08-28 |
| 1073056784 | Rachel Kay Lewandowski | Physical Therapy Assistant | 555 N Bradley Hwy, Rogers City, MI 49779-1539 | 2016-11-29 |
| 1033565411 | Michelle Reichenbach | Residential Treatment Facility, Physical Disabilities | 555 N Bradley Hwy, Rogers City, MI 49779-1539 | 2016-05-04 |
| 1295108579 | Tricia Kowalski | Occupational Therapist | 555 N Bradley Hwy, Rogers City, MI 49779 | 2015-11-09 |
| 1972901312 | Fmg North Bradley Highway Michigan LLC | Skilled Nursing Facility | 555 N Bradley Hwy, Rogers City, MI 49779-1539 | 2014-12-17 |
| 1629408109 | Jennifer Beaujean | Speech-Language Pathologist | 555 N Bradley Hwy, Rogers City, MI 49779-1539 | 2013-11-19 |
| 1417386632 | Lauren Hanson | Physical Therapy Assistant | 555 N Bradley Hwy, Rogers City, MI 49779-1539 | 2013-11-07 |
| 1275962748 | Laura Weber | Occupational Therapist | 555 N Bradley Hwy, Rogers City, MI 49779-1539 | 2013-11-05 |
| Find all providers in the same location | ||||
| 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 |
| 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 |
| 1508814377 | Stanley J Suchey | Chiropractor | 157 Larke Ave, Rogers City, MI 49779-1345 | 2006-05-04 |
| 1992356083 | Dana J La Bar | Counselor | 1033 W Huron Ave, Rogers City, MI 49779-1428 | 2019-09-20 |
| Find all providers in zip 49779 | ||||
| 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 |
|---|---|---|---|---|
| 1609435536 | Thunder Bay Community Health Service, Inc | Clinic/Center | 1033 W Huron Ave Rm Tb1, Rogers City, MI 49779-1428 | 2019-06-13 |
| 1154697092 | Thunder Bay Community Health Service, Inc | Clinic/Center | 532 W Erie St, Rogers City, MI 49779-1635 | 2012-03-26 |
| 1477591691 | Thunder Bay Community Health Service, Inc | Clinic/Center | 205 S Brandley Hwy, Rogers City, MI 49779 | 2006-06-02 |
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| 1831706993 | Family Medical Center of Michigan, Inc | Clinic/Center | 503 Washington St Rm 150, Monroe, MI 48161-1309 | 2020-09-23 |
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| 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 |
| Find all providers with the same taxonomy | ||||
| City | ROGERS CITY |
| Zip Code | 49779 |
Please comment or provide details below to improve the information on THUNDER BAY COMMUNITY HEALTH SERVICE, INC.
| 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.