THUNDER BAY COMMUNITY HEALTH SERVICE, INC – NPI #1477591691
Clinic/Center

THUNDER BAY COMMUNITY HEALTH SERVICE, INC is an AHC clinic located in ROGERS CITY, MI. NPPES has assigned the NPI number 1477591691 to THUNDER BAY COMMUNITY HEALTH SERVICE, INC on June 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 3 years ago on Mar 13, 2023. 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 THUNDER BAY COMMUNITY HEALTH SERVICE, INC below.

NPI Profile for
THUNDER BAY COMMUNITY HEALTH SERVICE, INC

NPI Number
1477591691
Enumeration Date

(more than 20 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
THUNDER BAY COMMUNITY HEALTH SERVICE, INC
Primary location
205 S BRANDLEY HWY
ROGERS CITY, MI 49779
Phone: (989) 734-2052 Fax: (989) 734-7390
Mailing address
PO BOX 427
HILLMAN, MI 49746-0427
Phone: (989) 742-4583 Fax: (989) 742-4298
Organization Subpart
No
Authorized Official
RICHARD BATES
INTERIM CEO
Phone: (989) 742-4583
Updated
Certification Date
Mar 13, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for THUNDER BAY COMMUNITY HEALTH SERVICE, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICARE BILL PAY TOMI0F060160
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.