Organization · Type 2 NPI

Great Lakes Bay Health Centers

Federally Qualified Health Center (FQHC) · Bridgeport, MI

NPI number 1073169835 Active

Practice location

4691 Bearcat Blvd
Bridgeport, MI 48722-9581

Mailing address

501 Lapeer Ave
Saginaw, MI 48607-1203

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1073169835

Great Lakes Bay Health Centers's National Provider Identifier is 1073169835, issued on Aug 16, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Bridgeport, MI. The record was last updated on Aug 26, 2019.