Organization
COUNTY OF BAY
Active
Other names
Bay County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS L HICKNER (COUNTY EXECUTIVE)
(989) 895-4130
Entity
Organization
Contact information
Practice address
1200 WASHINGTON AVENUE, BAY CITY, MI 48708
(989) 895-2018
(989) 895-4014
Mailing address
515 CENTER AVENUE, BAY CITY, MI 48708
(989) 895-4130
(989) 895-2094
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003763
MCLAREN HEALTH ADVANTAGE
MI
01
—
1008322
MCLAREN HEALTH PLANS
MI
01
—
142861
GREAT LAKES HEALTH PLANS
MI
05
—
16-4250843
—
MI
05
—
23-5100045
—
MI
01
—
28869
COMMUNITY CHOICE
MI
01
—
69-0Z915100
BCBS, BCN
MI
01
—
6H110011
HEALTH PLUS OF MICHIGAN
MI
05
—
77-1851151
—
MI
05
—
77-2978235
—
MI
05
—
77-2978244
—
MI
01
—
M031678
CHAMPUS
MI
01
—
QMXPR0012379
MOLINA
MI
Enumeration date
06/21/2006
Last updated
04/11/2014
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