NPI | 1447804604 |
---|---|
Other Name | GREAT LAKES BAY HEALTH CENTERS BAY CITY SOUTH |
Entity Type | Organization |
Authorized Contact | DAWN CHRISTIAN Provider Enrollment 989-759-6464 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-07-26 |
Last Update Date | 2019-07-26 |