1. Home
  2. Directory
  3. Michigan
  4. Fairview
  5. Clinic Center
  6. NPI Profile

THUNDER BAY COMMUNITY HEALTH SERVICE, INC - FAIRVIEW
NPI 1285281709
Clinic/Center - Federally Qualified Health Center (FQHC) in Fairview, MI

Active since August 20, 2019CLIA 23D2172708 · Waiver
1910 E MILLER RD, FAIRVIEW, MI 48621(989) 848-5644 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 13, 2023, Oct 15, 2019, Aug 20, 2019 (3 updates tracked since 2019).

About Thunder Bay Community Health Service, Inc - Fairview NPPES

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

THUNDER BAY COMMUNITY HEALTH SERVICE, INC - FAIRVIEW (NPI 1285281709) is a healthcare organization registered as a federally qualified health center (fqhc) in Fairview, Michigan and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through September 26, 2027 and lists Richard Bates, Interim Ceo, as its authorized official.

NPPES Registry Identity

NPI1285281709
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTHUNDER BAY COMMUNITY HEALTH SERVICE, INC
Location Address1910 E MILLER RDFairview, MI 48621-8731
Mailing AddressPo Box 427Hillman, MI 49746-0427 · (989) 742-4583 · Fax (989) 742-2183
Phone(989) 848-5644
Organization SubpartNo
Authorized OfficialRichard BatesInterim Ceo · (989) 742-4583
Enumeration DateAugust 20, 2019
Last NPPES UpdateMarch 13, 20233 updates tracked since enumeration
NPPES CertifiedMarch 13, 2023
✔ NPI 1285281709 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
1910 E MILLER RD, Fairview, MI 48621
Open in Google Maps ↗

Other Names 1

Other NameThunder Bay Community Health Service, Inc - Fairview

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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 23D2172708

Thunder Bay Community Health Service, Inc Fairview Clinic · Fairview, MI
Active · expires Sep 26, 2027
CLIA Number23D2172708
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 27, 2025
Certificate Expiration DateSeptember 26, 2027
Laboratory DirectorBrendan Conboy
Laboratory Phone(989) 848-5644
Laboratory LocationThunder Bay Community Health Service, Inc Fairview Clinic1910 E Miller Rd, Fairview, MI 48621
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 12

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

CHERYL HENRY NP
Nurse Practitioner
1910 E MILLER RD
FAIRVIEW, MI 48621
Oscoda County (989) 848-5644
FAIRVIEW CLINIC PLC
Clinic/Center (Rural Health)
1910 E MILLER RD
FAIRVIEW, MI 48621
Oscoda County (989) 848-5644
MCLAREN BAY REGION
Family Medicine
1910 E MILLER RD
FAIRVIEW, MI 48621
Oscoda County (989) 848-5484
MCLAREN PRIMARY CARE
Family Medicine
1910 E MILLER RD
FAIRVIEW, MI 48621
Oscoda County (989) 848-5484
MRS. SUSAN LYNN ALLRED LMSW
Social Worker (Clinical)
1910 E MILLER RD
FAIRVIEW, MI 48621
Oscoda County (989) 848-5644
MRS. ROSE M ROSS FNP
Nurse Practitioner (Family)
1910 E MILLER RD
FAIRVIEW, MI 48621
Oscoda County (989) 848-5484
THUNDER BAY COMMUNITY HEALTH SERVICE, INC.
Pharmacy
1910 E MILLER RD
FAIRVIEW, MI 48621
Oscoda County (989) 848-4606
TROY BROWN RPH
Pharmacist
1910 E MILLER RD
FAIRVIEW, MI 48621
Oscoda County (989) 848-5644

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 1285281709. It was assigned to this organization in the NPPES registry on August 20, 2019.

Where is Thunder Bay Community Health Service, Inc located?

Thunder Bay Community Health Service, Inc is located at 1910 E Miller Rd, Fairview, MI 48621. The listed phone number is (989) 848-5644.

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.

Does Thunder Bay Community Health Service, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2172708) is associated with this NPI, valid through September 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Thunder Bay Community Health Service, Inc accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Thunder Bay Community Health Service, Inc 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 Thunder Bay Community Health Service, Inc was last updated on March 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.