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BAY MILLS HEALTH CENTER
NPI 1952388175
Clinic/Center - Federally Qualified Health Center (FQHC) in Brimley, MI

Active since December 29, 2005CLIA 23D2338757 · Waiver
12455 W LAKESHORE DR, BRIMLEY, MI 49715(906) 248-5527(906) 248-5765 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bay Mills Health Center NPPES

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

BAY MILLS HEALTH CENTER (NPI 1952388175) is a healthcare organization registered as a federally qualified health center (fqhc) in Brimley, Michigan and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through February 17, 2028 and lists Audrey Breakie, Hhs Director, as its authorized official.

NPPES Registry Identity

NPI1952388175
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBAY MILLS INDIAN COMMUNITY
Location Address12455 W LAKESHORE DRBrimley, MI 49715-9327
Mailing Address12455 W Lakeshore DrBrimley, MI 49715-9327 · (906) 248-5527 · Fax (906) 248-5765
Phone(906) 248-5527
Fax(906) 248-5765
Organization SubpartNo
Authorized OfficialAudrey BreakieHhs Director · (906) 248-8327
Enumeration DateDecember 29, 2005
Last NPPES UpdateNovember 29, 2022
NPPES CertifiedNovember 29, 2022
✔ NPI 1952388175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedOptometristTaxonomy 152W00000X
12455 W LAKESHORE DR, Brimley, MI 49715
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Other Names 2

Doing Business AsBay Mills Health Center
Doing Business AsBay Mills Health Center Optometry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 23D2338757

Bay Mills Health Center Medical / Nursing · Brimley, MI
Active · expires Feb 17, 2028
CLIA Number23D2338757
Laboratory TypeTribal FQHC
Certificate Effective DateFebruary 18, 2026
Certificate Expiration DateFebruary 17, 2028
Laboratory DirectorDaniel C. Maloney
Laboratory Phone(906) 248-5527
Laboratory LocationBay Mills Health Center Medical / Nursing12455 W Lakeshore Drive, Brimley, MI 49715
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2150736

Bay Mills Health Center · Brimley, MI
Expired · Jul 1, 2026
CLIA Number23D2150736
Laboratory TypeTribal FQHC
Certificate Effective DateJuly 2, 2024
Certificate Expiration DateJuly 1, 2026
Laboratory DirectorDaniel C. Maloney
Laboratory Phone(906) 248-5527
Laboratory LocationBay Mills Health Center12455 W Lakeshore Drive, Brimley, MI 49715
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 13

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

BAY MILLS INDIAN COMMUNITY
Clinic/Center (Federally Qualified Health Center (FQHC))
12455 W LAKESHORE DR
BRIMLEY, MI 49715
Chippewa County (906) 248-5527
BAY MILLS INDIAN COMMUNITY
Clinic/Center (Federally Qualified Health Center (FQHC))
12455 W LAKESHORE DR
BRIMLEY, MI 49715
Chippewa County (906) 248-5527
RACHEL LINDSAY HILEMAN LLMSW
Social Worker (Clinical)
12455 W LAKESHORE DR
BRIMLEY, MI 49715
Chippewa County (906) 248-5527
BAY MILLS INDIAN COMMUNITY
Pharmacy (Community/Retail Pharmacy)
12455 W LAKESHORE DR
BRIMLEY, MI 49715
Chippewa County (906) 248-2031
JAQUELIN KILLIPS RPH
Pharmacist
12455 W LAKESHORE DR
BRIMLEY, MI 49715
Chippewa County (906) 248-2031
BETH ANN PERSHINSKE RDH
Dental Hygienist
12455 W LAKESHORE DR
BRIMLEY, MI 49715
Chippewa County (906) 248-5527
BAY MILLS INDIAN COMMUNITY
Clinic/Center (Federally Qualified Health Center (FQHC))
12455 W LAKESHORE DR
BRIMLEY, MI 49715
Chippewa County (906) 248-5527
MRS. BROOKE STOVER
Dental Hygienist
12455 W LAKESHORE DR
BRIMLEY, MI 49715
Chippewa County (906) 248-8315

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 Bay Mills Indian Community's NPI number?

The NPI number for Bay Mills Indian Community is 1952388175. It was assigned to this organization in the NPPES registry on December 29, 2005. The provider is doing business as Bay Mills Health Center and Bay Mills Health Center Optometry.

Where is Bay Mills Indian Community located?

Bay Mills Indian Community is located at 12455 W Lakeshore Dr, Brimley, MI 49715. The listed phone number is (906) 248-5527.

What is Bay Mills Indian Community's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Bay Mills Indian Community hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2338757) is associated with this NPI, valid through February 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bay Mills Indian Community was last updated on November 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.