GREAT LAKES BAY HEALTH CENTERS SHIAWASSEE – NPI #1184054892
Clinic/Center

GREAT LAKES BAY HEALTH CENTERS SHIAWASSEE is an AHC clinic located in OWOSSO, MI. NPPES has assigned the NPI number 1184054892 to GREAT LAKES BAY HEALTH CENTERS SHIAWASSEE on November 15, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GREAT LAKES BAY HEALTH CENTERS SHIAWASSEE” is a dba name, the actual legal business name for this organization is GREAT LAKES BAY HEALTH CENTERS. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 10 years ago on Sep 19, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREAT LAKES BAY HEALTH CENTERS SHIAWASSEE below.

NPI Profile for
GREAT LAKES BAY HEALTH CENTERS

NPI Number
1184054892
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GREAT LAKES BAY HEALTH CENTERS
Doing Business As (dba): GREAT LAKES BAY HEALTH CENTERS SHIAWASSEE
Primary location
200 N CALEDONIA DR
OWOSSO, MI 48867
Phone: (989) 729-4848 Fax: (989) 729-4849
Mailing address
501 LAPEER AVE
SAGINAW, MI 48607-1208
Phone: (989) 759-6464 Fax: (989) 399-8233
Organization Subpart
No
Authorized Official
LISA GALONSKA
INTERUM PRESIDENT
Phone: (989) 759-6464
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.