Great Lakes Bay Health Centers
NPI #1548464951 in Manchester, Michigan
Provider Information
- NPI Number
- 1548464951
- Entity Type
- Organization
- Organization Name
- Great Lakes Bay Health Centers
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jun 12, 2007
- Last Updated
- Sep 19, 2016
Practice Location
- Address
- 4800 ESCH ROAD
- Address 2
- MANCHESTER MIGRANT CAMP
- City
- Manchester
- State
- Michigan
- ZIP Code
- 48158
- Phone
- (989) 759-6464
Authorized Official
- Name
- LISA GALONASKA
- Title
- VICE PRESIDENT
- Phone
- (989) 759-6464
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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