GREAT LAKES BAY HEALTH CENTERS NPI 1851621338

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 1851621338. The provider is registered as an organization entity type.
The provider Is Doing Business As Great Lakes Bay Health Centers St.vincent Dental.

The provider's business location address is:

925 N RIVER RD
SAGINAW, MI
ZIP 48609-831
Phone: (989) 759-6464
Fax: (989) 399-8233

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 23D1032128 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2010 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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