Organization
THUNDER BAY COMMUNITY HEALTH SERVICE, INC
Active
Other names
Lewiston Elementary School
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BATES (INTERIM CEO)
(989) 742-4583
Entity
Organization
Contact information
Practice address
4580 MONTMORENCY ST, LEWISTON, MI 49756-7862
(989) 354-2197
(989) 356-6524
Mailing address
PO BOX 427, HILLMAN, MI 49746-0427
(989) 354-2197
(989) 356-6524
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/20/2015
Last updated
03/13/2023
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