Organization
THUNDER BAY COMMUNITY HEALTH SERVICE, INC
Active
Organization
THUNDER BAY COMMUNITY HEALTH SERVICE, INC
Active
Other names
Johannesburg-Lewiston Area Schools
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG KREIS (INTERIM CEO)
(989) 731-4420
Entity
Organization
Contact information
Practice address
10854 M 32 E, JOHANNESBURG, MI 49751-9622
(989) 354-2197
(989) 356-6524
Mailing address
PO BOX 427, HILLMAN, MI 49746-0427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/25/2015
Last updated
07/30/2026
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