Thunder Bay Community Health Service, INC

NPI #1124402136 in Lewiston, Michigan

Provider Information

NPI Number
1124402136
Entity Type
Organization
Organization Name
Thunder Bay Community Health Service, INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jul 20, 2015
Last Updated
Mar 13, 2023

Practice Location

Address
4580 MONTMORENCY ST
ZIP Code
49756-7862
Phone
(989) 354-2197

Authorized Official

Name
RICHARD BATES
Title
INTERIM CEO
Phone
(989) 742-4583

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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