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GREAT LAKES BAY HEALTH CENTERS SHIAWASSEE
NPI 1184054892
Clinic/Center - Federally Qualified Health Center (FQHC) in Owosso, MI

Active since November 15, 2013CLIA 23D1082877 · Microscopy
200 N CALEDONIA DR, OWOSSO, MI 48867(989) 729-4848(989) 729-4849 Get Directions Write a Review

NPPES record last updated: September 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Lakes Bay Health Centers Shiawassee NPPES

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

GREAT LAKES BAY HEALTH CENTERS SHIAWASSEE (NPI 1184054892) is a healthcare organization registered as a federally qualified health center (fqhc) in Owosso, Michigan and active in the NPI registry since November 2013. The organization holds a CLIA Microscopy certificate valid through April 21, 2028 and lists Lisa Galonska, Interum President, as its authorized official.

NPPES Registry Identity

NPI1184054892
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGREAT LAKES BAY HEALTH CENTERS
Location Address200 N CALEDONIA DROwosso, MI 48867
Mailing Address501 Lapeer AveSaginaw, MI 48607-1208 · (989) 759-6464 · Fax (989) 399-8233
Phone(989) 729-4848
Fax(989) 729-4849
Organization SubpartNo
Authorized OfficialLisa GalonskaInterum President · (989) 759-6464
Enumeration DateNovember 15, 2013
Last NPPES UpdateSeptember 19, 2016
✔ NPI 1184054892 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
200 N CALEDONIA DR, Owosso, MI 48867
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Other Names 1

Doing Business AsGreat Lakes Bay Health Centers Shiawassee

Other Identifiers 1

Medicare OSCAR/certification231013MI

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 for Provider-Performed Microscopy Procedures (PPMP) 23D1082877

Great Lakes Bay Health Centers Shiawassee · Owosso, MI
Active · expires Apr 21, 2028
CLIA Number23D1082877
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorBrent M. Maze
Laboratory Phone(989) 729-4848
Laboratory LocationGreat Lakes Bay Health Centers Shiawassee200 N Caledonia Drive, Owosso, MI 48867
CLIA data matches this NPI record on: Address Name Phone
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.

Other Providers at the Same Location NPPES 14

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

NATALIA MCPHERSON CHW
Community Health Worker
200 N CALEDONIA DR
OWOSSO, MI 48867
Shiawassee County (989) 729-4848
AMY BENDALL
Dental Hygienist
200 N CALEDONIA DR
OWOSSO, MI 48867
Shiawassee County (989) 720-4188
FERMIN EDWARD RANKIN MD
Family Medicine
200 N CALEDONIA DR
OWOSSO, MI 48867
Shiawassee County (989) 623-0137
JANICE NULL BASTIAN
Dental Hygienist
200 N CALEDONIA DR
OWOSSO, MI 48867
Shiawassee County (989) 729-4848
JOLEEN ENGLAND
Dental Hygienist
200 N CALEDONIA DR
OWOSSO, MI 48867
Shiawassee County (989) 729-4848
MRS. LORA BENJAMIN PA-C
Physician Assistant
200 N CALEDONIA DR
OWOSSO, MI 48867
Shiawassee County (989) 729-4848
MRS. UROOJ BEENISH M.D
Family Medicine
200 N CALEDONIA DR
OWOSSO, MI 48867
Shiawassee County (989) 729-4848
LAUREN JACKSON
Dental Hygienist
200 N CALEDONIA DR
OWOSSO, MI 48867
Shiawassee County (989) 720-4188

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 1184054892. It was assigned to this organization in the NPPES registry on November 15, 2013. The provider is doing business as Great Lakes Bay Health Centers Shiawassee.

Where is Great Lakes Bay Health Centers located?

Great Lakes Bay Health Centers is located at 200 N Caledonia Dr, Owosso, MI 48867. The listed phone number is (989) 729-4848.

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 23D1082877) is associated with this NPI, valid through April 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 September 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.