GREAT LAKES BAY HEALTH CENTERS NPI 1902136385

NPI Information

  • NPI: 1902136385
  • Provider Name: GREAT LAKES BAY HEALTH CENTERS
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: GREAT LAKES BAY HEALTH CENTERS WOLVERINEHUMANVASSAR/DENTAL
  • Address: 1015 COMMERCE DR
    VASSAR, MI
    ZIP 48768
  • Phone: (989) 823-3010

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NPI Details

GREAT LAKES BAY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Vassar, MI. GREAT LAKES BAY HEALTH CENTERS NPI is 1902136385. The provider is registered as an organization entity type.
The provider Is Doing Business As Great Lakes Bay Health Centers Wolverinehumanvassar/dental.

The provider's business location address is:

1015 COMMERCE DR
VASSAR, MI
ZIP 48768-589
Phone: (989) 823-3010
Fax: (989) 823-9243

The provider's authorized official is Lisa Galonaska .
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 1/6/2010 and was last updated on 6/22/2020.

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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)MICHIGANYes

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: 3/30/2025

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