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GREAT LAKES BAY HEALTH CENTERS THUMB AREA DENTAL
NPI 1205226412
Clinic/Center - Federally Qualified Health Center (FQHC) in Bad Axe, MI

Active since January 26, 2015CLIA Certified · 2 labs
876 N VAN DYKE RD, BAD AXE, MI 48413(989) 623-0137(989) 821-4977 Get Directions Write a Review

NPPES record last updated: September 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 26, 2016, Jan 11, 2016 (2 updates tracked since 2016).

About Great Lakes Bay Health Centers Thumb Area Dental NPPES

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

GREAT LAKES BAY HEALTH CENTERS THUMB AREA DENTAL (NPI 1205226412) is a healthcare organization registered as a federally qualified health center (fqhc) in Bad Axe, Michigan and active in the NPI registry since January 2015. The organization holds 2 active CLIA laboratory certificates and lists Lisa Galonska, Vice President, as its authorized official.

NPPES Registry Identity

NPI1205226412
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGREAT LAKES BAY HEALTH CENTERS
Location Address876 N VAN DYKE RDBad Axe, MI 48413-9016
Mailing Address501 Lapeer AveSaginaw, MI 48607-1203 · (989) 759-6464
Phone(989) 623-0137
Fax(989) 821-4977
Organization SubpartNo
Authorized OfficialLisa GalonskaVice President · (989) 759-6464
Enumeration DateJanuary 26, 2015
Last NPPES UpdateSeptember 26, 20162 updates tracked since enumeration
✔ NPI 1205226412 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
876 N VAN DYKE RD, Bad Axe, MI 48413
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Other Names 1

Doing Business AsGreat Lakes Bay Health Centers Thumb Area Dental

Other Identifiers 1

Medicare OSCAR/certification231025MI

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 ›

CLIA Laboratory Certificates CMS CLIA 2

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) 23D2072282

Great Lakes Bay Health Centers Thumb Area · Bad Axe, MI
Active · expires Jan 27, 2028
CLIA Number23D2072282
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorBrent M. Maze
Laboratory Phone(989) 759-6471
Laboratory LocationGreat Lakes Bay Health Centers Thumb Area876 N Van Dyke, Bad Axe, MI 48413
CLIA data matches this NPI record on: Address 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.

Certificate of Waiver 23D2072276

Great Lakes Bay Health Centers Integrated Care Thumb Area · Bad Axe, MI
Active · expires Jan 27, 2028
CLIA Number23D2072276
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorBrent M. Maze
Laboratory Phone(989) 759-6471
Laboratory LocationGreat Lakes Bay Health Centers Integrated Care Thumb Area1375 R Dale Wertz Dr, Bad Axe, MI 48413
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

ERIKA ILEEN GOEBEL
Dental Hygienist
876 N VAN DYKE RD
BAD AXE, MI 48413
Huron County (989) 623-0137
NICOLE KING RDH
Dental Hygienist
876 N VAN DYKE RD
BAD AXE, MI 48413
Huron County (989) 331-0555
DIANA HICKEY NP
Nurse Practitioner (Family)
876 N VAN DYKE RD
BAD AXE, MI 48413
Huron County (989) 623-0137
JACKIE MARIE OSANTOSKI RDH
Dental Hygienist
876 N VAN DYKE RD
BAD AXE, MI 48413
Huron County (989) 623-0137
JOSE MANUEL GARCIA BSW
Technician, Other
876 N VAN DYKE RD
BAD AXE, MI 48413
Huron County (989) 623-0137
GREAT LAKES BAY HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
876 N VAN DYKE RD
BAD AXE, MI 48413
Huron County (989) 623-0137
CLAIRE FERENCY CHW
Community Health Worker
876 N VAN DYKE RD
BAD AXE, MI 48413
Huron County (989) 623-0137

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 1205226412. It was assigned to this organization in the NPPES registry on January 26, 2015. The provider is doing business as Great Lakes Bay Health Centers Thumb Area Dental.

Where is Great Lakes Bay Health Centers located?

Great Lakes Bay Health Centers is located at 876 N Van Dyke Rd, Bad Axe, MI 48413. The listed phone number is (989) 623-0137.

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Great Lakes Bay Health Centers accept?

Health plans from 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 September 26, 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.