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Organization

THUNDER BAY COMMUNITY HEALTH SERVICE, INC

Active
Other names
Johannesburg-Lewiston Area Schools
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD BATES (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
03/13/2023
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