GREAT LAKES BAY HEALTH CENTERS NPI 1831561182

NPI Information

NPI: 1831561182
Provider Name: GREAT LAKES BAY HEALTH CENTERS

Doing Business As: GREAT LAKES BAY HEALTH CENTERS IMLAY CITY DENTAL

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
6800 NEWARK RD
IMLAY CITY, MI
ZIP 48444
Phone: (810) 724-3201
Get Directions

GREAT LAKES BAY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Imlay City, MI. GREAT LAKES BAY HEALTH CENTERS NPI is 1831561182. The provider is registered as an organization entity type.
The provider Is Doing Business As Great Lakes Bay Health Centers Imlay City Dental.

The provider's business location address is:

6800 NEWARK RD
IMLAY CITY, MI
ZIP 48444-656
Phone: (810) 724-3201
Fax: (810) 724-4605

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 enumeration date for this NPI number is 10/27/2015 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		MICHIGAN	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	231967	MEDICARE OSCAR/CERTIFICATION	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »