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GREAT LAKES BAY HEALTH CENTERS SHIAWASSEE DENTAL
NPI 1891176210
Clinic/Center - Federally Qualified Health Center (FQHC) in Owosso, MI

Active since June 11, 2015
200 N CALEDONIA DR, OWOSSO, MI 48867(989) 729-4848(989) 729-4849 Get Directions Write a Review

NPPES record last updated: September 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great Lakes Bay Health Centers Shiawassee Dental NPPES

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

GREAT LAKES BAY HEALTH CENTERS SHIAWASSEE DENTAL (NPI 1891176210) is a healthcare organization registered as a federally qualified health center (fqhc) in Owosso, Michigan and active in the NPI registry since June 2015. The organization lists Lisa Galonska, Vice President, as its authorized official.

NPPES Registry Identity

NPI1891176210
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGREAT LAKES BAY HEALTH CENTERS
Location Address200 N CALEDONIA DROwosso, MI 48867
Mailing Address501 Lapeer AveSaginaw, MI 48607-1203 · (989) 759-6464 · Fax (989) 399-8233
Phone(989) 729-4848
Fax(989) 729-4849
Organization SubpartNo
Authorized OfficialLisa GalonskaVice President · (989) 729-4848
Enumeration DateJune 11, 2015
Last NPPES UpdateSeptember 26, 2016
✔ NPI 1891176210 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
200 N CALEDONIA DR, Owosso, MI 48867
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Other Names 1

Doing Business AsGreat Lakes Bay Health Centers Shiawassee Dental

Other Identifiers 1

Medicare OSCAR/certification231013MI

Other Providers at the Same Location NPPES 14

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

NATALIA MCPHERSON CHW
Community Health Worker
200 N CALEDONIA DR
OWOSSO, MI 48867
Shiawassee County (989) 729-4848
AMY BENDALL
Dental Hygienist
200 N CALEDONIA DR
OWOSSO, MI 48867
Shiawassee County (989) 720-4188
GREAT LAKES BAY HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
200 N CALEDONIA DR
OWOSSO, MI 48867
Shiawassee County (989) 729-4848
FERMIN EDWARD RANKIN MD
Family Medicine
200 N CALEDONIA DR
OWOSSO, MI 48867
Shiawassee County (989) 623-0137
JANICE NULL BASTIAN
Dental Hygienist
200 N CALEDONIA DR
OWOSSO, MI 48867
Shiawassee County (989) 729-4848
JOLEEN ENGLAND
Dental Hygienist
200 N CALEDONIA DR
OWOSSO, MI 48867
Shiawassee County (989) 729-4848
MRS. LORA BENJAMIN PA-C
Physician Assistant
200 N CALEDONIA DR
OWOSSO, MI 48867
Shiawassee County (989) 729-4848
MRS. UROOJ BEENISH M.D
Family Medicine
200 N CALEDONIA DR
OWOSSO, MI 48867
Shiawassee County (989) 729-4848

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 1891176210. It was assigned to this organization in the NPPES registry on June 11, 2015. The provider is doing business as Great Lakes Bay Health Centers Shiawassee Dental.

Where is Great Lakes Bay Health Centers located?

Great Lakes Bay Health Centers is located at 200 N Caledonia Dr, Owosso, MI 48867. The listed phone number is (989) 729-4848.

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.

When was this NPI record last updated?

The NPPES record for Great Lakes Bay Health Centers was last updated on September 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.