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BALDWIN FAMILY HEALTH CARE NPI 1386021582


NPI Information

NPI: 1386021582
Provider Name: BALDWIN FAMILY HEALTH CARE
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 23D1076253

Address:
520 COBB ST
CADILLAC, MI
ZIP 49601
Phone: (231) 775-6521
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BALDWIN FAMILY HEALTH CARE is an adolescent medicine pediatrics in Cadillac, MI. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. BALDWIN FAMILY HEALTH CARE NPI is 1386021582. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

520 COBB ST
CADILLAC, MI
ZIP 49601-588
Phone: (231) 775-6521
Fax: (231) 876-6519

The provider's authorized official is Julie Tatko .
The authorized official title is Ceo and has the following contact phone number (231) 745-5057.

The CLIA number assigned to this NPI record is 23D1076253 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2015 and was last updated on 11/12/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
22080A0000XPediatricsAdolescent MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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