Organization
GREAT LAKES BAY HEALTH CENTERS
Active
Other names
Great Lakes Bay Health Centers Janes Street
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M GALONSKA (VICE PRESIDENT)
(989) 759-6448
Entity
Organization
Contact information
Practice address
1522 JANES AVE, SAGINAW, MI 48601-1819
(989) 755-0316
(989) 755-0956
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 BILL PAY TO
MI
Enumeration date
03/27/2007
Last updated
02/08/2023
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