Thunder Bay Community Health Service, INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Lewiston, MI. Organization (NPI-2).
NPI number1124402136
StatusActive
Last updated in NPPESJul 30, 2026
Details
- NPI
- 1124402136
- Entity type
- Organization (NPI-2)
- Legal business name
- Thunder Bay Community Health Service, INC
- Organization subpart
- No
- Enumeration date
- Jul 20, 2015
- Certification date
- Jul 30, 2026
- Last updated
- Jul 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Lewiston Elementary School (Doing Business As)
Practice location
4580 Montmorency StLewiston, MI 49756-7862
Phone 989-354-2197 · Fax 989-356-6524
Mailing address
Po Box 427Hillman, MI 49746-0427
Phone 989-354-2197 · Fax 989-356-6524
Authorized official
Doug Kreis
Ceo
9897424583
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