THUNDER BAY COMMUNITY HEALTH SERVICE, INC
NPI 1467837336
Clinic/Center - Federally Qualified Health Center (FQHC) in Indian River, MI

Active since July 21, 2015
4363 S STRAITS HWY, INDIAN RIVER, MI 49749(989) 354-2197 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 30, 2026, Mar 13, 2023, Sep 29, 2015 (3 updates tracked since 2015).

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 1467837336), doing business as Inland Lakes Secondary School, is a healthcare organization registered as a federally qualified health center (fqhc) in Indian River, Michigan and active in the NPI registry since July 2015. The organization lists Doug Kreis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467837336
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTHUNDER BAY COMMUNITY HEALTH SERVICE, INC
Location Address4363 S STRAITS HWYIndian River, MI 49749-9457
Mailing AddressPo Box 427Hillman, MI 49746-0427 · (989) 354-2197 · Fax (989) 356-6524
Organization SubpartNo
Authorized OfficialDoug KreisCeo · (989) 742-4583
Enumeration DateJuly 21, 2015
Last NPPES UpdateJuly 30, 20263 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1467837336 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
4363 S STRAITS HWY, Indian River, MI 49749

Other Names 1

Doing Business AsInland Lakes Secondary School

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thunder Bay Community Health Service, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20150827002316Part A · Federally Qualified Health Center (FQHC)Due dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
4363 S STRAITS HWY
INDIAN RIVER, MI 49749

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 1467837336. It was assigned to this organization in the NPPES registry on July 21, 2015. The provider is doing business as Inland Lakes Secondary School.

Where is Thunder Bay Community Health Service, Inc located?

Thunder Bay Community Health Service, Inc is located at 4363 S Straits Hwy, Indian River, MI 49749. 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.

Is Thunder Bay Community Health Service, Inc enrolled in Medicare?

Yes. Thunder Bay Community Health Service, Inc is registered in the Medicare PECOS enrollment system.

When is Thunder Bay Community Health Service, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Michigan, Federally Qualified Health Center (FQHC)) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

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 July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.