Organization
GREAT LAKES BAY HEALTH CENTERS
Active
Other names
Great Lakes Bay Health Centers Davenport
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN CHRISTIAN (PROVIDER ENROLLMENT)
(989) 759-6464
Entity
Organization
Contact information
Practice address
3023 DAVENPORT AVE, SAGINAW, MI 48602-3652
(989) 907-2761
(989) 907-2762
Mailing address
501 LAPEER AVE, SAGINAW, MI 48607-1203
(989) 907-2761
(989) 907-2762
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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