Organization
THUNDER BAY COMMUNITY HEALTH SERVICE, INC
Active
Other names
Inland Lakes Secondary School
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BATES (CEO)
(989) 742-4583
Entity
Organization
Contact information
Practice address
4363 S STRAITS HWY, INDIAN RIVER, MI 49749-9457
(989) 354-2197
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
07/21/2015
Last updated
03/13/2023
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