Great Lakes Bay Health Centers
NPI #1073169835 in Bridgeport, Michigan
Provider Information
- NPI Number
- 1073169835
- Entity Type
- Organization
- Organization Name
- Great Lakes Bay Health Centers
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Aug 16, 2019
- Last Updated
- Aug 26, 2019
Practice Location
- Address
- 4691 BEARCAT BLVD
- City
- Bridgeport
- State
- Michigan
- ZIP Code
- 48722-9581
- Phone
- (989) 777-0440
Authorized Official
- Name
- DAWN CHRISTIAN
- Title
- PROVIDER ENROLLMENT
- Phone
- (989) 759-6464
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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| Great Lakes Bay Health Centers |  AI Deep Dive |
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