THUNDER BAY COMMUNITY HEALTH SERVICE, INC
NPI 1063788909
Clinic/Center - Federally Qualified Health Center (FQHC) in Hillman, MI
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 3 active CLIA laboratory certificates and lists Richard Bates, Interim Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Thunder Bay Community Health Service, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
57Medicare enrollment records show 57 clinicians reassign Medicare billing to Thunder Bay Community Health Service, Inc, which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 57Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 3
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, MICertificate of Waiver 23D0381739
Thunder Bay Community Health Service, Inc - Atlanta · Atlanta, MICertificate of Waiver 23D0669613
Thunder Bay Comminity Health Service, Inc Hillman · Hillman, MIFrequently 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.
Is Thunder Bay Community Health Service, Inc enrolled in Medicare?
Yes. Thunder Bay Community Health Service, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Thunder Bay Community Health Service, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 57 clinicians in 10 Medicare specialties reassign their Medicare billing to Thunder Bay Community Health Service, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (21), Nurse Practitioner (17) and Mental Health Counselor (6). Of these, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Thunder Bay Community Health Service, Inc hold CLIA laboratory certificates?
Yes. 3 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 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.
# Thunder Bay Community Health Service, Inc · NPI 1063788909
Federally Qualified Health Center (FQHC) organization in Hillman, Michigan. Organization record, active in the CMS NPPES registry since March 26, 2012.
## Identity
- **NPI:** 1063788909 (Entity type: Organization)
- **Enumerated:** March 26, 2012
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Richard Bates, INTERIM CEO
## Practice location
- **Address:** 245 E THIRD ST, Hillman, MI 49746-9213
- **Phone:** (989) 742-4537 · **Fax:** (989) 742-4298
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 57 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (21), Nurse Practitioner (17), Mental Health Counselor (6); 9 practice within 10 miles; [full list](https://npiprofile.com/npi/1063788909/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 13, 2023
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063788909) · Data from the CMS NPPES public registry.