BALDWIN FAMILY HEALTH CARE NPI 1689783698

NPI Information

NPI: 1689783698
Provider Name: BALDWIN FAMILY HEALTH CARE
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 23D1064894

Address:
1615 MICHIGAN AVE
BALDWIN, MI
ZIP 49304
Phone: (231) 745-4624
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BALDWIN FAMILY HEALTH CARE is a federally qualified health center (fqhc) clinic center in Baldwin, MI. BALDWIN FAMILY HEALTH CARE NPI is 1689783698. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1615 MICHIGAN AVE
BALDWIN, MI
ZIP 49304-984
Phone: (231) 745-4624
Fax: (231) 745-5031

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 CLIA number assigned to this NPI record is 23D1064894 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 11/11/2020.

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	Primary
1	207Q00000X	Family Medicine		No
2	207R00000X	Internal Medicine		No
3	207V00000X	Obstetrics & Gynecology		No
4	208000000X	Pediatrics		No
5	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

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	MICHIGAN	BCBS
2	700D360000	OTHER	MICHIGAN	BCN

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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