THUNDER BAY COMMUNITY HEALTH SERVICE, INC – NPI #1861914475
Clinic/Center

THUNDER BAY COMMUNITY HEALTH SERVICE, INC is an AHC clinic located in HILLMAN, MI. NPPES has assigned the NPI number 1861914475 to THUNDER BAY COMMUNITY HEALTH SERVICE, INC on July 14, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. THUNDER BAY COMMUNITY HEALTH SERVICE, INC is also known by the name THUNDER BAY COMMUNITY HEALTH SERVICE, INC MOBILE UNIT 1. 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
1861914475
Enumeration Date

(about 9 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
Other Name: THUNDER BAY COMMUNITY HEALTH SERVICE, INC MOBILE UNIT 1
Primary location
15774 STATE ST
HILLMAN, MI 49746-7961
Phone: (989) 742-4583 Fax: (989) 742-2183
Mailing address
PO BOX 427
HILLMAN, MI 49746-0427
Phone: (989) 742-4583 Fax: (989) 742-2183
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.

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.