Thunder Bay Community Health Service, Inc in Atlanta - Federally Qualified Health Center (fqhc)
Thunder Bay Community Health Service, Inc - NPI 1639123623
Thunder Bay Community Health Service, Inc is a Federally Qualified Health Center (fqhc) in Atlanta, Michigan. Thunder Bay Community Health Service, Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Thunder Bay Community Health Service, Inc is 1639123623. The last update date is 2023-03-13.
Thunder Bay Community Health Service, Inc's current location address is 11899 M 32, Atlanta, Michigan. You can contact this provider via phone number 9897854855 and fax number 9897852267. The mailing address for Thunder Bay Community Health Service, Inc is 11899 M 32, Atlanta, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Thunder Bay Community Health Service, Inc |
|---|---|
| Address | 11899 M 32, Atlanta, Michigan |
| Phone Number | 9897854855 |
| Fax Number | 9897852267 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INTERIM CE |
|---|---|
| Authorized Official Name | Bates Rochard |
| Telephone Number | 9897424583 |
NPI Number Detail
| NPI Number | 1639123623 |
|---|---|
| Provider Enumeration Date | 2006-05-22 |
| Last Updated Date | 2023-03-13 |
Provider Mailing Address Detail
| Address | 11899 M 32 |
|---|---|
| City | Atlanta |
| State | Michigan (MI) |
| Post Code | 497099374 |
| Phone Number | 9897854855 |
| Fax Number | 9897852267 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0F06016 | MI | MEDICARE BILL PAY TO |
Post Comment/ Review Below
What is the unique identification code assigned to Thunder Bay Community Health Service, Inc by the Centers for Medicare & Medicaid Services?
The Thunder Bay Community Health Service, Inc has been issued the NPI (National Provider Identifier) 1639123623. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Thunder Bay Community Health Service, Inc is physically located?
The Thunder Bay Community Health Service, Inc is physically situated at the following address: 11899 M 32, Atlanta, MI, 497099374.
What is Thunder Bay Community Health Service, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Thunder Bay Community Health Service, Inc's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
On what date did Thunder Bay Community Health Service, Inc receive its 1639123623 assignment from the Centers for Medicare & Medicaid Services?
The Thunder Bay Community Health Service, Inc was assigned its 1639123623 on 2006-05-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Thunder Bay Community Health Service, Inc most recently updated or revised?
The information pertaining to Thunder Bay Community Health Service, Inc, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-13.