Thunder Bay Community Health Service, INC

NPI #1609435536 in Rogers City, Michigan

Provider Information

NPI Number
1609435536
Entity Type
Organization
Organization Name
Thunder Bay Community Health Service, INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jun 13, 2019
Last Updated
Jun 13, 2019

Practice Location

Address
1033 W HURON AVE RM TB1
ZIP Code
49779-1428
Phone
(989) 734-2052

Authorized Official

Name
HEIDE BOLANOWSKI
Title
CREDENTIALING SPECIALIST
Phone
(989) 354-2197

Specialties & Taxonomy Codes

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

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