GREAT LAKES BAY HEALTH CENTERS DAVID R. GAMEZ DENTAL – NPI #1295067783
Clinic/Center

GREAT LAKES BAY HEALTH CENTERS DAVID R. GAMEZ DENTAL is an AHC clinic located in SAGINAW, MI. NPPES has assigned the NPI number 1295067783 to GREAT LAKES BAY HEALTH CENTERS DAVID R. GAMEZ DENTAL on February 08, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GREAT LAKES BAY HEALTH CENTERS DAVID R. GAMEZ DENTAL” 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 27, 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 DAVID R. GAMEZ DENTAL below.

NPI Profile for
GREAT LAKES BAY HEALTH CENTERS

NPI Number
1295067783
Enumeration Date

(more than 16 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 DAVID R. GAMEZ DENTAL
Primary location
501 LAPEER
SAGINAW, MI 48607
Phone: (989) 753-6000 Fax: (989) 759-6454
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LISA GALONSKA
VICE 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)		 MI

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.