Baldwin Family Health Care
Organization Active NPI Community/Retail Pharmacy · Baldwin, MI
NPI 1124459318 · NPPES record last updated Apr 29, 2021
Key facts
- NPI
- 1124459318
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- BALDWIN FAMILY HEALTH CARE
- Practice address
- 1615 Michigan Ave
Baldwin, MI 49304-7984 - Phone
- (231) 745-5024
- Fax
- (231) 745-5026
- NPI assigned
- Dec 12, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- BALDWIN FAMILY HEALTH CARE
Authorized official
- Name
- Ms. Julie Tatko
- Title
- Ceo
- Phone
- (231) 745-5009
Other NPIs on the same Medicare enrollment 4
Other NPIs with the same Medicare PAC ID 18
Practitioners 35
-
Shawn Andrus, OD
-
Amanda Jean Barton, FNP
-
Jonathon Eugene Borton, PA-C
-
Daniel James Bow, D.O.
-
Brian Patrick Dykes, L.P.C.
-
Rebecca M Ganzow-Fortier, PA-C
-
Jeremy Garrett, NP
-
Dannie Joe Gentry Jr., M.D.
-
Kristina Marie Hug, FNP-C
-
Mary Theresa Leone, M.A.
-
Samantha N Lopez, FNP
-
Kimberly Ann McCane, L.M.S.W
-
Russell McDaniel, PA-C
-
Roberto Miller, PA-C
-
Pamela B Mir, MD
-
Michael Joseph Morgan, PHD NP
-
Dawn Lynnette Paris, LMSW
-
Becky Lynn Porter, FNP-C
-
Amanda Reed, NP
-
Felisha Robinson, LMSW
-
Arman Salim, DO
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 Practice locations: Big Rapids, MI; Cadillac, MI; Grant, MI; White Cloud, MI; Baldwin, MI |
National Provider Directory
- Part of
- Rowland Family Health C
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
1615 Michigan Ave
Baldwin, MI 49304-7984
Mailing address
1615 Michigan Ave
Baldwin, MI 49304-7984
Phone (231) 745-5024
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5301010258 | Other | MI | MICHIGAN STATE PHARMACY LICENSE |
Other names
- Family Health Care Pharmacy
Other providers in Baldwin, MI
- Priscilla Anglemyer
- Baldwin Family Health Care
- Baldwin Family Health Care
- Baldwin Family Health Care
- Baldwin Family Health Care
- Baldwin Family Health Care
- Baldwin Family Health Care
All providers in Baldwin, 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.