GREAT LAKES BAY HEALTH CENTERS INTEGRATED CARE SHIAWASSEE
NPI 1134491202
Clinic/Center - Federally Qualified Health Center (FQHC) in Owosso, MI

Q: What is Great Lakes Bay Health Centers's NPI number?

The NPI number for Great Lakes Bay Health Centers is 1134491202. It was assigned to this organization in the NPPES registry on February 3, 2012. The provider is doing business as Great Lakes Bay Health Centers Integrated Care Shiawassee.

Q: 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.

Active since February 03, 2012CLIA 23D2037221 · Waiver

1555 INDUSTRIAL DRIVE, OWOSSO, MI 48867(989) 759-6464(989) 399-8233 Get Directions Write a Review

NPPES record last updated: December 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2016, Sep 23, 2016 (2 updates tracked since 2016).

On this page

About Great Lakes Bay Health Centers Integrated Care Shiawassee NPPES

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

GREAT LAKES BAY HEALTH CENTERS INTEGRATED CARE SHIAWASSEE (NPI 1134491202) is a healthcare organization registered as a federally qualified health center (fqhc) in Owosso, Michigan and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through February 21, 2028 and lists Lisa M Galonska, Vice President, as its authorized official.

NPPES Registry Identity

NPI1134491202

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameGREAT LAKES BAY HEALTH CENTERS

Location Address1555 INDUSTRIAL DRIVEOwosso, MI 48867

Mailing Address501 LapeerSaginaw, MI 48607-1208 · (989) 759-6464 · Fax (989) 399-8233

Phone(989) 759-6464

Fax(989) 399-8233

Organization SubpartNo

Authorized OfficialLisa M GalonskaVice President · (989) 759-6464

Enumeration DateFebruary 3, 2012

Last NPPES UpdateDecember 19, 20162 updates tracked since enumeration

✔ NPI 1134491202 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

1555 INDUSTRIAL DRIVE, Owosso, MI 48867

Open in Google Maps ↗

Other Names 1

Doing Business AsGreat Lakes Bay Health Centers Integrated Care Shiawassee

Other Identifiers 1

Medicare OSCAR/certification231968MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 of Waiver 23D2037221

Great Lakes Bay Health Centers Integrated Care Shiawassee · Owosso, MI

Active · expires Feb 21, 2028

CLIA Number23D2037221

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateFebruary 22, 2026

Certificate Expiration DateFebruary 21, 2028

Laboratory DirectorBrent Maze

Laboratory Phone(989) 759-6471

Laboratory LocationGreat Lakes Bay Health Centers Integrated Care Shiawassee1555 Industrial Drive, Owosso, MI 48867

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

LORNA REYES MONGE MA, QMHP

Case Manager/Care Coordinator

1555 INDUSTRIAL DRIVE
OWOSSO, MI 48867

Shiawassee County (989) 723-6791

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 1134491202. It was assigned to this organization in the NPPES registry on February 3, 2012. The provider is doing business as Great Lakes Bay Health Centers Integrated Care Shiawassee.

Where is Great Lakes Bay Health Centers located?

Great Lakes Bay Health Centers is located at 1555 Industrial Drive, Owosso, MI 48867. The listed phone number is (989) 759-6464.

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 of Waiver (number 23D2037221) is associated with this NPI, valid through February 21, 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 and 1 other insurer 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 December 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.