GREAT LAKES BAY HEALTH CENTERS NPI 1295067783

NPI Information

GREAT LAKES BAY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Saginaw, MI. GREAT LAKES BAY HEALTH CENTERS NPI is 1295067783. The provider is registered as an organization entity type.
The provider Is Doing Business As Great Lakes Bay Health Centers David R. Gamez Dental.

The provider's business location address is:

501 LAPEER
SAGINAW, MI
ZIP 48607
Phone: (989) 753-6000
Fax: (989) 759-6454

The provider's authorized official is Lisa Galonska .
The authorized official title is Vice President and has the following contact phone number (989) 759-6464.

The CLIA number assigned to this NPI record is 23D2091212 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/8/2010 and was last updated on 9/27/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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