Organization
GREAT LAKES BAY HEALTH CENTERS
Active
Other names
Great Lakes Bay Health Centers Bridgeport Spaulding High School
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN CHRISTIAN (PROVIDER ENROLLMENT)
(989) 759-6464
Entity
Organization
Contact information
Practice address
4691 BEARCAT BLVD, BRIDGEPORT, MI 48722-9581
(989) 777-0440
Mailing address
501 LAPEER AVE, SAGINAW, MI 48607-1203
(989) 759-6464
(989) 399-8233
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/26/2019
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