GREAT LAKES BAY HEALTH CENTERS NPI 1386887800

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 1386887800. The provider is registered as an organization entity type.
The provider Other Name Is Great Lakes Bay Health Centers Arthur Hill.

The provider's business location address is:

3115 MACKINAW ST
SAGINAW, MI
ZIP 48602-221
Phone: (989) 399-5940
Fax: (989) 399-8261

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 23D2030168 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/14/2009 and was last updated on 9/19/2016.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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