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Organization

GREAT LAKES BAY HEALTH CENTERS

Active
Other names
Great Lakes Bay Health Centers St. Vincent
Organization subpart
No

Provider details

NPI number
Authorized official
LISA GALONASKA (VICE PRESIDENT)
(989) 759-6464
Entity
Organization

Contact information

Practice address
3400 S WASHINGTON RD, SAGINAW, MI 48601-4958
(989) 759-6464
(989) 399-8233
Mailing address
501 LAPEER, SAGINAW, MI 48607-1208
(989) 759-6464
(989) 399-8233

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0G36111
0G36111 MEDICARE BILL PAY TO
MI
Enumeration date
03/27/2007
Last updated
04/03/2024
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