Organization
GREAT LAKES BAY HEALTH CENTERS
Active
Other names
Great Lakes Bay Health Centers Tuscola County
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GALONSKA (VICE PRESIDENT)
(989) 759-6464
Entity
Organization
Contact information
Practice address
1309 CLEAVER RD, CARO, MI 48723
(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 PAY BILL TO
MI
Enumeration date
06/12/2007
Last updated
09/19/2016
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