BALDWIN FAMILY HEALTH CARE NPI 1669759437

NPI Information

NPI: 1669759437
Provider Name: BALDWIN FAMILY HEALTH CARE

Other Name: CHILD AND ADOLESCENT HEATLH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
96 E 120TH ST
GRANT, MI
ZIP 49327
Phone: (231) 834-1350
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BALDWIN FAMILY HEALTH CARE is a federally qualified health center (fqhc) clinic center in Grant, MI. BALDWIN FAMILY HEALTH CARE NPI is 1669759437. The provider is registered as an organization entity type.
The provider Other Name Is Child And Adolescent Heatlh Center.

The provider's business location address is:

96 E 120TH ST
GRANT, MI
ZIP 49327-502
Phone: (231) 834-1350
Fax: (231) 834-1355

The provider's authorized official is Julie Tatko .
The authorized official title is Ceo and has the following contact phone number (231) 745-2743.

The enumeration date for this NPI number is 11/8/2011 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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes
2	261QS1000X	Clinic/Center	Student Health			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0D36000	OTHER		BCBS GROUP

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

NPI Synchronization or Removal

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