Baldwin Family Health Care
Organization Active NPI Community/Retail Pharmacy · White Cloud, MI
NPI 1104891696 · NPPES record last updated Apr 29, 2021
Key facts
- NPI
- 1104891696
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 5301007624 (MI)
- Legal business name
- BALDWIN FAMILY HEALTH CARE
- Practice address
- 1035 E Wilcox Ave
White Cloud, MI 49349-8794 - Phone
- (231) 689-6677
- Fax
- (231) 689-3869
- NPI assigned
- Feb 20, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- BALDWIN FAMILY HEALTH CARE
Authorized official
- Name
- Ms. Julie Tatko
- Title
- President/Ceo
- Phone
- (231) 745-5009
Other NPIs on the same Medicare enrollment 4
Practitioners 2
-
Sarah Weers, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201012001446 | MI | Part B Supplier - Pharmacy | 1153215413 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Big Rapids, MI; Cadillac, MI; Grant, MI; White Cloud, MI; Baldwin, MI |
National Provider Directory
- Part of
- Rowland Family Health C
Locations
555 E Wilcox Ave
White Cloud, MI 49349
Phone (231) 689-3268
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 5301007624 | MI | Yes |
Addresses
Primary practice location
1035 E Wilcox Ave
White Cloud, MI 49349-8794
Mailing address
1035 E Wilcox Ave
P.O. Box 706
White Cloud, MI 49349-8794
Phone (231) 689-6677
Other names
- Family Health Care Pharmacy
Other providers in White Cloud, MI
- 6 Hands Physical Therapy and Wellness
- Angela E Ambrosia
- Phillip Annis
- Baldwin Family Health Care
- Baldwin Family Health Care
- Pamela Jean Baron
- Anita Lynn Barrett
- Brittany Barrie
All providers in White Cloud, MI · Community/Retail Pharmacy in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.