WOLVERINEVASSARHOUSEDENTAL
NPI 1518299692
Clinic/Center - Federally Qualified Health Center (FQHC) in Vassar, MI

Active since February 01, 2010CLIA 23D1003195 · Waiver
955 COMMERCE, VASSAR, MI 48768(989) 759-6400(989) 759-6423 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 4, 2023, Jul 26, 2017 (2 updates tracked since 2017).

About Wolverinevassarhousedental NPPES

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

WOLVERINEVASSARHOUSEDENTAL (NPI 1518299692) is a healthcare organization registered as a federally qualified health center (fqhc) in Vassar, Michigan and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through August 25, 2026 and lists Lisa Galonska, Vice President, as its authorized official.

NPPES Registry Identity

NPI1518299692
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGREAT LAKES BAY HEALTH CENTERS
Location Address955 COMMERCEVassar, MI 48768-8954
Mailing Address501 LapeerSaginaw, MI 48607-1208 · (989) 759-6400 · Fax (989) 759-6423
Fax(989) 759-6423
Organization SubpartNo
Authorized OfficialLisa GalonskaVice President · (989) 759-6464
Enumeration DateFebruary 1, 2010
Last NPPES UpdateApril 4, 20232 updates tracked since enumeration
NPPES CertifiedApril 4, 2023
NPI 1518299692 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
955 COMMERCE, Vassar, MI 48768

Other Names 1

Doing Business AsWolverinevassarhousedental

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 23D1003195

Great Lakes Bay Health Centers Wolverine Vassar · Vassar, MI
Active · expires Aug 25, 2026
CLIA Number23D1003195
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorBrenda W. Coughlin
Laboratory Phone(989) 792-8751
Laboratory LocationGreat Lakes Bay Health Centers Wolverine Vassar1120 Commerce Drive, Vassar, MI 48768
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

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

Clinic/Center (Federally Qualified Health Center (FQHC))
955 COMMERCE
VASSAR, MI 48768

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 1518299692. It was assigned to this organization in the NPPES registry on February 1, 2010. The provider is doing business as Wolverinevassarhousedental.

Where is Great Lakes Bay Health Centers located?

Great Lakes Bay Health Centers is located at 955 Commerce, Vassar, MI 48768. The listed phone number is (989) 759-6400.

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 of Waiver (number 23D1003195) is associated with this NPI, valid through August 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Great Lakes Bay Health Centers was last updated on April 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.