THUNDER BAY CLINIC MANAGEMENT INC – NPI #1790746964
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Health Care Provider Taxonomy Code for Urology

THUNDER BAY CLINIC MANAGEMENT INC is an urologist located in ALPENA, MI. NPPES has assigned the NPI number 1790746964 to THUNDER BAY CLINIC MANAGEMENT INC on March 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 16 years ago on Jun 25, 2010. 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 CLINIC MANAGEMENT INC below.

NPI Profile for
THUNDER BAY CLINIC MANAGEMENT INC

NPI Number
1790746964
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 CLINIC MANAGEMENT INC
Primary location
1065 US 23 NORTH
ALPENA, MI 49707
Phone: (989) 354-0607 Fax: (989) 356-6710
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JANE HARDIES
OFFICE MANAGER
Phone: (989) 354-0607
Updated
Identifiers

Identifiers for THUNDER BAY CLINIC MANAGEMENT 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
MEDICAIDMI3438729
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
208800000X
- Urology (Primary)		 MI BB012930

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.