Organization
THUNDER BAY COMMUNITY HEALTH SERVICE, INC
Active
Organization
THUNDER BAY COMMUNITY HEALTH SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DALE BATES (CEO)
(989) 354-2197
Entity
Organization
Contact information
Practice address
3040 BOURN ST, LEWISTON, MI 49756-8134
(989) 354-2197
(989) 318-4606
Mailing address
PO BOX 427, HILLMAN, MI 49746-0427
(989) 354-2197
(989) 318-4606
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/19/2026
Last updated
06/30/2026
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