Thunder Bay Clinic Management Inc
NPI 1790746964ActiveOrganization· Urology· Alpena, MI
Urology in Alpena, Michigan, registered in NPPES in March 2006. The authorized official on file is Jane E. Hardies, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790746964 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 29, 2006 |
| Last updated in NPPES | Jun 25, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | BB012930 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
Other Urology providers in Alpena
- 1225092554