THUNDER BAY COMMUNITY HEALTH SERVICE, INC
NPI 1235065111
Clinic/Center - Federally Qualified Health Center (FQHC) in Lewiston, MI

Active since June 19, 2026
3040 BOURN ST, LEWISTON, MI 49756(989) 354-2197(989) 318-4606 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 1235065111) is a healthcare organization registered as a federally qualified health center (fqhc) in Lewiston, Michigan and active in the NPI registry since June 2026. The organization lists Richard Dale Bates, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235065111
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTHUNDER BAY COMMUNITY HEALTH SERVICE, INC
Location Address3040 BOURN STLewiston, MI 49756-8134
Mailing AddressPo Box 427Hillman, MI 49746-0427 · (989) 354-2197 · Fax (989) 318-4606
Fax(989) 318-4606
Organization SubpartNo
Authorized OfficialRichard Dale BatesCeo · (989) 354-2197
Enumeration DateJune 19, 2026
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
NPI 1235065111 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
3040 BOURN ST, Lewiston, MI 49756

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner
3040 BOURN ST
LEWISTON, MI 49756
Nurse Practitioner (Family)
3040 BOURN ST
LEWISTON, MI 49756
Clinic/Center (Rural Health)
3040 BOURN ST
LEWISTON, MI 49756
Nurse Practitioner (Family)
3040 BOURN ST
LEWISTON, MI 49756
Physician Assistant
3040 BOURN ST
LEWISTON, MI 49756
Family Medicine
3040 BOURN ST
LEWISTON, MI 49756
General Practice
3040 BOURN ST
LEWISTON, MI 49756
Family Medicine
3040 BOURN ST
LEWISTON, MI 49756

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 1235065111. It was assigned to this organization in the NPPES registry on June 19, 2026.

Where is Thunder Bay Community Health Service, Inc located?

Thunder Bay Community Health Service, Inc is located at 3040 Bourn 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.

When was this NPI record last updated?

The NPPES record for Thunder Bay Community Health Service, Inc was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 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.