Organization · Type 2 NPI

Thunder Bay Community Health Service, Inc

Federally Qualified Health Center (FQHC) · Johannesburg, MI

NPI number 1760864763 Active

Practice location

10854 M 32 E
Johannesburg, MI 49751-9622

Call (989) 354-2197 Map

Fax (989) 356-6524

Mailing address

PO Box 427
Hillman, MI 49746-0427

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry	1223G0001X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

3 other providers at this address

NPI record

NPI: 1760864763
Entity type: Organization (Type 2)
Issued: Jun 25, 2015
Last updated: Jul 30, 2026
Status: Active

Other names

<unavail>
Johannesburg-Lewiston Area Schools · doing business as
Johannesburg-Lewiston Area Schools · doing business as

Authorized official

Doug Kreis
Interim CEO
(989) 731-4420

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1760864763

Thunder Bay Community Health Service, Inc's National Provider Identifier is 1760864763, issued on Jun 25, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Johannesburg, MI. The record was last updated on Jul 30, 2026.