Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

THUNDER BAY COMMUNITY HEALTH SERVICE, INC
NPI 1124402136
Clinic/Center - Federally Qualified Health Center (FQHC) in Lewiston, MI

Q: 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.

Active since July 20, 2015

4580 MONTMORENCY ST, LEWISTON, MI 49756(989) 354-2197(989) 356-6524 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2026, Mar 13, 2023, Sep 29, 2015 (3 updates tracked since 2015).

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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 1124402136), doing business as Lewiston Elementary School, is a healthcare organization registered as a federally qualified health center (fqhc) in Lewiston, Michigan and active in the NPI registry since July 2015. The organization lists Doug Kreis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124402136

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameTHUNDER BAY COMMUNITY HEALTH SERVICE, INC

Location Address4580 MONTMORENCY STLewiston, MI 49756-7862

Mailing AddressPo Box 427Hillman, MI 49746-0427 · (989) 354-2197 · Fax (989) 356-6524

Phone(989) 354-2197

Fax(989) 356-6524

Organization SubpartNo

Authorized OfficialDoug KreisCeo · (989) 742-4583

Enumeration DateJuly 20, 2015

Last NPPES UpdateJuly 30, 20263 updates tracked since enumeration

NPPES CertifiedJuly 30, 2026

✔ NPI 1124402136 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

4580 MONTMORENCY ST, Lewiston, MI 49756

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Other Names 1

Doing Business AsLewiston Elementary School

Accepted Insurance

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIDGET M GOSS LMSW

Social Worker (Clinical)

4580 MONTMORENCY ST
LEWISTON, MI 49756

Montmorency County (989) 785-4855

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 1124402136. It was assigned to this organization in the NPPES registry on July 20, 2015. The provider is doing business as Lewiston Elementary School.

Where is Thunder Bay Community Health Service, Inc located?

Thunder Bay Community Health Service, Inc is located at 4580 Montmorency St, Lewiston, MI 49756. The listed phone number is (989) 354-2197.

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.

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 July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.