GREAT LAKES BAY HEALTH CENTERS BRIDGEPORT SPAULDING HIGH SCHOOL
NPI 1073169835
Clinic/Center - Federally Qualified Health Center (FQHC) in Bridgeport, MI

Active since August 16, 2019CLIA 23D0997597 · Microscopy
4691 BEARCAT BLVD, BRIDGEPORT, MI 48722(989) 777-0440 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 26, 2019, Aug 16, 2019 (2 updates tracked since 2019).

About Great Lakes Bay Health Centers Bridgeport Spaulding High School NPPES

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

GREAT LAKES BAY HEALTH CENTERS BRIDGEPORT SPAULDING HIGH SCHOOL (NPI 1073169835) is a healthcare organization registered as a federally qualified health center (fqhc) in Bridgeport, Michigan and active in the NPI registry since August 2019. The organization holds a CLIA Microscopy certificate valid through March 20, 2028 and lists Dawn Christian, Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1073169835
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGREAT LAKES BAY HEALTH CENTERS
Location Address4691 BEARCAT BLVDBridgeport, MI 48722-9581
Mailing Address501 Lapeer AveSaginaw, MI 48607-1203 · (989) 759-6464 · Fax (989) 399-8233
Organization SubpartNo
Authorized OfficialDawn ChristianProvider Enrollment · (989) 759-6464
Enumeration DateAugust 16, 2019
Last NPPES UpdateAugust 26, 20192 updates tracked since enumeration
NPI 1073169835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
4691 BEARCAT BLVD, Bridgeport, MI 48722

Other Names 1

Other NameGreat Lakes Bay Health Centers Bridgeport Spaulding High School

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 23D0997597

Great Lakes Bay Health Centers Bridgeport · Bridgeport, MI
Active · expires Mar 20, 2028
CLIA Number23D0997597
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 21, 2026
Certificate Expiration DateMarch 20, 2028
Laboratory DirectorBrenda W. Coughlin
Laboratory Phone(989) 777-2151
Laboratory LocationGreat Lakes Bay Health Centers Bridgeport6297 Dixie Highway, Bridgeport, MI 48722
CLIA data matches this NPI record on: Name
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 Great Lakes Bay Health Centers's NPI number?

The NPI number for Great Lakes Bay Health Centers is 1073169835. It was assigned to this organization in the NPPES registry on August 16, 2019. The provider is also known as Great Lakes Bay Health Centers Bridgeport Spaulding High School.

Where is Great Lakes Bay Health Centers located?

Great Lakes Bay Health Centers is located at 4691 Bearcat Blvd, Bridgeport, MI 48722. The listed phone number is (989) 777-0440.

What is Great Lakes Bay Health Centers's specialty?

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

Does Great Lakes Bay Health Centers hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D0997597) is associated with this NPI, valid through March 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Great Lakes Bay Health Centers accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Great Lakes Bay Health Centers 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 Great Lakes Bay Health Centers was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.