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GREAT LAKES BAY HEALTH CENTERS
NPI 1609609536
Clinic/Center - Federally Qualified Health Center (FQHC) in Midland, MI

Active since August 26, 2024CLIA 23D2309902 · Waiver
218 FAST ICE DR, MIDLAND, MI 48642(989) 921-6353 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great Lakes Bay Health Centers NPPES

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

GREAT LAKES BAY HEALTH CENTERS (NPI 1609609536), doing business as Great Lakes Bay Health Centers Integrated Care Midland, is a healthcare organization registered as a federally qualified health center (fqhc) in Midland, Michigan and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through August 21, 2026 and lists Dawn M Christian, Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1609609536
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGREAT LAKES BAY HEALTH CENTERS
Location Address218 FAST ICE DRMidland, MI 48642-6167
Mailing Address501 Lapeer AveSaginaw, MI 48607-1203 · (989) 759-6464 · Fax (989) 399-8233
Phone(989) 921-6353
Organization SubpartNo
Authorized OfficialDawn M ChristianProvider Enrollment · (989) 759-6464
Enumeration DateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
✔ NPI 1609609536 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
218 FAST ICE DR, Midland, MI 48642
Open in Google Maps ↗

Other Names 1

Doing Business AsGreat Lakes Bay Health Centers Integrated Care Midland

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 23D2309902

Great Lakes Bay Health Centers / Midland Integrated Care · Midland, MI
Active · expires Aug 21, 2026
CLIA Number23D2309902
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 22, 2024
Certificate Expiration DateAugust 21, 2026
Laboratory DirectorBrent M. Maze
Laboratory Phone(989) 759-6477
Laboratory LocationGreat Lakes Bay Health Centers / Midland Integrated Care218 Fast Ice Drive, Midland, MI 48642
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

BRITTANY MARSHALL RN
Registered Nurse
218 FAST ICE DR
MIDLAND, MI 48642
Midland County (989) 631-2320
MS. TRACY GOETGELUCK
Case Manager/Care Coordinator
218 FAST ICE DR
MIDLAND, MI 48642
Midland County (989) 631-2320
MS. DELLA WADE MSW
Social Worker (Clinical)
218 FAST ICE DR
MIDLAND, MI 48642
Midland County (989) 631-2320
MISS KRISTINA LYNN MEYER BS, QMRP, QMHP
Social Worker
218 FAST ICE DR
MIDLAND, MI 48642
Midland County (989) 631-2320
MRS. NICOLE LYNN MINNIS MA, LLP
Psychologist (Clinical)
218 FAST ICE DR
MIDLAND, MI 48642
Midland County (989) 631-2320
ROCHELLE J OWCZARZAK LMSW
Social Worker
218 FAST ICE DR
MIDLAND, MI 48642
Midland County (989) 631-2320
MS. KELLY LYNNE BEELMAN PA-C
Social Worker
218 FAST ICE DR
MIDLAND, MI 48642
Midland County (989) 631-2320
TYLER MACKENZIE RICHARDS
Case Manager/Care Coordinator
218 FAST ICE DR
MIDLAND, MI 48642
Midland County (810) 247-1664

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 1609609536. It was assigned to this organization in the NPPES registry on August 26, 2024. The provider is doing business as Great Lakes Bay Health Centers Integrated Care Midland.

Where is Great Lakes Bay Health Centers located?

Great Lakes Bay Health Centers is located at 218 Fast Ice Dr, Midland, MI 48642. The listed phone number is (989) 921-6353.

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 23D2309902) is associated with this NPI, valid through August 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Great Lakes Bay Health Centers accept?

Health plans from Blue Care Network of Michigan and 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 August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.