Organization
GREAT LAKES BAY HEALTH CENTERS
Active
Other names
Great Lakes Bay Health Centers Shiawassee Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GALONSKA (VICE PRESIDENT)
(989) 729-4848
Entity
Organization
Contact information
Practice address
200 N CALEDONIA DR, OWOSSO, MI 48867
(989) 729-4848
(989) 729-4849
Mailing address
501 LAPEER AVE, SAGINAW, MI 48607-1203
(989) 759-6464
(989) 399-8233
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
09/26/2016
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