Organization provider

THUNDER BAY COMMUNITY HEALTH SERVICE, INC

Family Medicine Physician Federally Qualified Health Center (FQHC) Medicare enrolled

THUNDER BAY COMMUNITY HEALTH SERVICE, INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1629107552, based in Hillman, MI. The organization lists 2 taxonomy classifications, with Federally Qualified Health Center (FQHC) recorded as primary.

Getting there

The practice address on file is 15774 STATE STREET, Hillman, MI 49746. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

15774 STATE STREET, Hillman, MI 49746 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
0143296772

Enrolled in Medicare 2 times, across 1 state:

StateEnrollment IDProvider type
Michigan O20040907000045 Part B Supplier - Clinic/group Practice
Michigan O20170605001724 Dme Supplier - Physician - Optometrist

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Federally Qualified Health Center (FQHC) covers

Definition to come... NUCC Health Care Provider Taxonomy, code 261QF0400X
Ambulatory Health Care Facilities Clinic/Center Federally Qualified Health Center (FQHC)

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207Q00000X Family Medicine Physician
261QF0400X Federally Qualified Health Center (FQHC) Federally Qualified Health Center (FQHC) primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1629107552 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateMar 5, 2007
Last updatedJul 30, 2026
StatusActive
Practice address 15774 STATE STREET
Hillman, MI 49746
(989) 742-4583
Fax (989) 742-4298
Mailing address PO BOX 427
Hillman, MI 49746
Other identifiers 0F06016 · Other (MI)
This record was updated on Jul 30, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1629107552 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 2 9 1 0 7 5 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 4 9 2 0 5 5 1

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1629107552?
NPI 1629107552 is the National Provider Identifier assigned to THUNDER BAY COMMUNITY HEALTH SERVICE, INC in Hillman, MI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Federally Qualified Health Center (FQHC) cover?
Definition to come...
How do I contact THUNDER BAY COMMUNITY HEALTH SERVICE, INC?
The phone number on file with NPPES is (989) 742-4583, last updated Jul 30, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does THUNDER BAY COMMUNITY HEALTH SERVICE, INC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1629107552 a valid number?
Yes. 1629107552 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.