Organization
GREAT LAKES BAY HEALTH CENTERS
Active
Organization
GREAT LAKES BAY HEALTH CENTERS
Active
Other names
Great Lakes Bay Health Centers Mobile Dental 1
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M GALONSKA (VICE PRESIDENT)
(989) 759-6448
Entity
Organization
Contact information
Practice address
501 LAPEER, SAGINAW, MI 48607-1208
(989) 759-6457
(989) 759-6429
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
—
—
347B00000X
Bus
—
MI
Other
Enumeration date
05/03/2012
Last updated
12/02/2021
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