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GREAT LAKES BAY HEALTH CENTERS PHARMACY SAGINAW
NPI 1164502803
Pharmacy - Community/Retail Pharmacy in Saginaw, MI

Active since October 17, 2006CLIA 23D2175776 · Waiver
1522 JANES AVE, SAGINAW, MI 48601(989) 755-3633(989) 755-3614 Get Directions Write a Review

NPPES record last updated: November 14, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 14, 2017, Sep 27, 2016, Sep 20, 2016 and 2 more (5 updates tracked since 2016).

About Great Lakes Bay Health Centers Pharmacy Saginaw NPPES

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

GREAT LAKES BAY HEALTH CENTERS PHARMACY SAGINAW (NPI 1164502803) is a healthcare organization registered as a community/retail pharmacy in Saginaw, Michigan and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through December 1, 2027 and lists Brenda Coughlin, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1164502803
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGREAT LAKES BAY HEALTH CENTERS
Location Address1522 JANES AVESaginaw, MI 48601-1819
Mailing Address501 Lapeer AveSaginaw, MI 48607-1203 · (989) 759-6400 · Fax (989) 759-6423
Phone(989) 755-3633
Fax(989) 755-3614
Organization SubpartNo
Authorized OfficialBrenda CoughlinPresident/ceo · (989) 755-3633
Enumeration DateOctober 17, 2006
Last NPPES UpdateNovember 14, 20175 updates tracked since enumeration
✔ NPI 1164502803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MI · 5301007375
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
1522 JANES AVE, Saginaw, MI 48601
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Other Names 1

Doing Business AsGreat Lakes Bay Health Centers Pharmacy Saginaw

Other Identifiers 1

Other2045515Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete 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 23D2175776

Great Lakes Bay Health Centers Mobile Medical 2 · Saginaw, MI
Active · expires Dec 1, 2027
CLIA Number23D2175776
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorDouglas J. Saylor
Laboratory Phone(989) 759-6400
Laboratory LocationGreat Lakes Bay Health Centers Mobile Medical 2501 Lapeer Avenue, Saginaw, MI 48607
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

ENAM BEHNAM HANNA MD
Family Medicine
1522 JANES AVE
SAGINAW, MI 48601
Saginaw County (989) 755-0316
DONALD B PASSAL MD
Pediatrics
1522 JANES AVE
SAGINAW, MI 48601
Saginaw County (989) 755-0316
MS. SARA REID HINDERER DNP
Nurse Practitioner (Family)
1522 JANES AVE
SAGINAW, MI 48601
Saginaw County (989) 755-0316
MR. MATTHEW S O'BRYANT
Pharmacist
1522 JANES AVE
SAGINAW, MI 48601
Saginaw County (989) 907-2720
BLAIR NICOLE PANCHECK WHNP-BC
Nurse Practitioner (Women's Health)
1522 JANES AVE
SAGINAW, MI 48601
Saginaw County (989) 755-0316
ONYINYECHI A NWEKE M.D.
Pediatrics
1522 JANES AVE
SAGINAW, MI 48601
Saginaw County (989) 755-0316
CYNTHIA JUDY-ANN KREIL CFNP
Nurse Practitioner
1522 JANES AVE
SAGINAW, MI 48601
Saginaw County (989) 755-0316
DR. TAMARA ELIZABETH MASON PHARMD
Pharmacist
1522 JANES AVE
SAGINAW, MI 48601
Saginaw County (989) 755-3633

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 1164502803. It was assigned to this organization in the NPPES registry on October 17, 2006. The provider is doing business as Great Lakes Bay Health Centers Pharmacy Saginaw.

Where is Great Lakes Bay Health Centers located?

Great Lakes Bay Health Centers is located at 1522 Janes Ave, Saginaw, MI 48601. The listed phone number is (989) 755-3633.

What is Great Lakes Bay Health Centers's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

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

Yes. A Certificate of Waiver (number 23D2175776) is associated with this NPI, valid through December 1, 2027. 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 Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 51 other insurers 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 November 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.