THUNDER BAY COMMUNITY HEALTH SERVICE, INC (NPI# 1881960722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881960722 |
| Entity Type | Organization |
| Organization Name | THUNDER BAY COMMUNITY HEALTH SERVICE, INC |
| Practice Address |
10500 County Road 489 Atlanta MI 49709 |
| Mailing Address |
P.o. Box 427 Hillman MI 49746-0427 |
| Practice Telephone | 9897854877 |
| Mailing Telephone | 9897424583 |
| Mailing Fax Number | 9897422183 |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2018-05-15 |
| Authorized Official Name | MICHELLE T 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 |
| 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 |
10500 COUNTY ROAD 489 |
| City | ATLANTA |
| State | MI |
| Zip Code | 49709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043441975 | Midmichigan Medical Center-alpena | Durable Medical Equipment & Medical Supplies | 12674 Jerome St., Atlanta, MI 49709 | 2009-07-27 |
| 1063598241 | Henry Franklin Herlick | Dentist | 12551 Jerome St, Atlanta, MI 49709 | 2006-10-31 |
| 1568759702 | Jennifer Ann Suszek | Dental Hygienist | 11899 M 32, Atlanta, MI 49709-0850 | 2011-07-08 |
| 1598063299 | Ellen A Buchler | Nurse Practitioner | 11899 M 32, Atlanta, MI 49709-0850 | 2011-03-03 |
| 1760500326 | Jeffrey A Taylor | Dentist | 11899 M 32, Atlanta, MI 49709-0850 | 2007-03-26 |
| 1437362902 | Ronald J. Looney | Chiropractor | 12418 State St., Atlanta, MI 49709-0855 | 2007-05-08 |
| 1427055680 | Tanya Joyce Rock | Social Worker | 5375 E Sandy Trl, Atlanta, MI 49709-8956 | 2005-07-02 |
| 1912444605 | Rachael Sherbonda | Behavior Technician | 8051 County Road 489, Atlanta, MI 49709-9031 | 2017-01-19 |
| 1174999098 | Montmorency County Commission On Aging | Home Health | 11463 Mcarthur Rd, Atlanta, MI 49709-9192 | 2015-08-14 |
| 1316998909 | Tri - Township Ambulance Service | Ambulance | 11413 Parland St, Atlanta, MI 49709-9271 | 2006-05-16 |
| Find all providers in zip 49709 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1285277608 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1976 Flat Shoals Rd Se Ste B, Atlanta, GA 30316-2857 | 2019-10-18 |
| 1700328309 | Health Education Assessment and Leadership, Inc | Clinic/Center | 4215 Bakers Ferry Rd Sw, Miles Elementary School, Atlanta, GA 30331-4401 | 2016-11-14 |
| 1629510466 | Southside Medical Center, Inc. | Clinic/Center | 2025 Jonesboro Rd Se, Atlanta, GA 30315-6726 | 2016-11-10 |
| 1639527237 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 160 Pine Street Ne, Atlanta, GA 30308-2324 | 2016-05-25 |
| 1912365263 | Fulton County Government | Clinic/Center | 265 Boulevard Ne Fl 3, Atlanta, GA 30312-1208 | 2016-02-02 |
| 1154728335 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 2836 Springdale Rd Sw, Atlanta, GA 30315-7802 | 2014-12-03 |
| 1689090896 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 355 Peachtree St Ne, Atlanta, GA 30308-3256 | 2014-03-12 |
| 1760741102 | The Family Health Centers of Georgia, Inc | Clinic/Center | 3700 Martin Luther King Jr Dr Sw, Atlanta, GA 30331-3674 | 2012-05-04 |
| 1366773541 | West End Medical Canters @the Atrium @ College Town | Clinic/Center | 456 Joseph E Lowery Blvd Sw, Atlanta, GA 30310 | 2010-01-27 |
| Find all providers in ATLANTA | ||||
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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.