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THUNDER BAY COMMUNITY HEALTH SERVICE, INC
NPI 1063788909
Clinic/Center - Federally Qualified Health Center (FQHC) in Hillman, MI

Active since March 26, 2012CLIA Certified · 4 labs
245 E THIRD ST, HILLMAN, MI 49746(989) 742-4537(989) 742-4298 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thunder Bay Community Health Service, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THUNDER BAY COMMUNITY HEALTH SERVICE, INC (NPI 1063788909) is a healthcare organization registered as a federally qualified health center (fqhc) in Hillman, Michigan and active in the NPI registry since March 2012. The organization holds 4 active CLIA laboratory certificates and lists Richard Bates, Interim Ceo, as its authorized official.

NPPES Registry Identity

NPI1063788909
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTHUNDER BAY COMMUNITY HEALTH SERVICE, INC
Location Address245 E THIRD STHillman, MI 49746-9213
Mailing AddressP.o. Box 427Hillman, MI 49746-0427 · (989) 742-4583 · Fax (989) 742-4298
Phone(989) 742-4537
Fax(989) 742-4298
Organization SubpartNo
Authorized OfficialRichard BatesInterim Ceo · (989) 742-4583
Enumeration DateMarch 26, 2012
Last NPPES UpdateMarch 13, 2023
NPPES CertifiedMarch 13, 2023
✔ NPI 1063788909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X
245 E THIRD ST, Hillman, MI 49746
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, BlueCross BlueShield of Tennessee.Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2043774

Thunder Bay Community Health Service, Inc Hillman Elem School · Hillman, MI
Active · expires Mar 2, 2028
CLIA Number23D2043774
Laboratory TypeSchool/Student Health Service
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorBrendan K. Conboy
Laboratory Phone(989) 742-4537
Laboratory LocationThunder Bay Community Health Service, Inc Hillman Elem School245 E Third Street, Hillman, MI 49746
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2089124

Thunder Bay Community Health Service, Inc Cheboygan Intermediate School · Cheboygan, MI
Active · expires Dec 18, 2026
CLIA Number23D2089124
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 19, 2024
Certificate Expiration DateDecember 18, 2026
Laboratory DirectorWayne Mcewen
Laboratory Phone(989) 742-4583
Laboratory LocationThunder Bay Community Health Service, Inc Cheboygan Intermediate School905 W Lincoln Ave, Cheboygan, MI 49721
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D0381739

Thunder Bay Community Health Service, Inc - Atlanta · Atlanta, MI
Active · expires Aug 31, 2026
CLIA Number23D0381739
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBrendan Conboy
Laboratory Phone(989) 742-4583
Laboratory LocationThunder Bay Community Health Service, Inc - Atlanta11899 M 32, Atlanta, MI 49709
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D0669613

Thunder Bay Comminity Health Service, Inc Hillman · Hillman, MI
Active · expires Aug 31, 2026
CLIA Number23D0669613
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBrendan Conbay
Laboratory Phone(989) 742-4583
Laboratory LocationThunder Bay Comminity Health Service, Inc Hillman15774 State Street, Hillman, MI 49746
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thunder Bay Community Health Service, Inc's NPI number?

The NPI number for Thunder Bay Community Health Service, Inc is 1063788909. It was assigned to this organization in the NPPES registry on March 26, 2012.

Where is Thunder Bay Community Health Service, Inc located?

Thunder Bay Community Health Service, Inc is located at 245 E Third St, Hillman, MI 49746. The listed phone number is (989) 742-4537.

What is Thunder Bay Community Health Service, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Thunder Bay Community Health Service, Inc hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Thunder Bay Community Health Service, Inc accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and BlueCross BlueShield of Tennessee list Thunder Bay Community Health Service, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thunder Bay Community Health Service, Inc was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.