NPIMap

Organization Active NPI

Baldwin Family Health Care

  • Federally Qualified Health Center (FQHC)
  • Big Rapids, MI
National Provider Identifier
1508425778
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BALDWIN FAMILY HEALTH CARE
Practice address
500 N Warren Ave RM C
Big Rapids, MI 49307-1459
Phone
(231) 796-9965
Fax
(231) 745-3690
NPI assigned
Jun 11, 2019
Last updated
Aug 10, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BALDWIN FAMILY HEALTH CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julie Tatko
Title
Administrative Assistant
Phone
(231) 745-2743

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU
Clinical Social Worker 1041C0700X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

500 N Warren Ave RM C
Big Rapids, MI 49307-1459

Mailing address

520 Cobb St
Cadillac, MI 49601-2588
Phone (231) 876-6527

Other names 1

  • Big Rapids Middle School Behavioral Health Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040209001155 MI Part B Supplier - Clinic/Group Practice 1153215413 Receives reassigned benefits from 50 practitioners
19 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Grant, MI; Kent City, MI; Leroy, MI; McBain, MI; Newaygo, MI; Reed City, MI; White Cloud, MI; Cadillac, MI…
O20190926000237 MI Part A Provider - Federally Qualified Health Center (FQHC) 1153215413 Practice locations: Big Rapids, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508425778. Details of each certification follow.

Federally qualified health center certification: CCN 231143

Legal name
BALDWIN FAMILY HEALTH CARE
Doing business as
BIG RAPIDS MIDDLE SCHOOL BEHAVIORAL HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 26, 2019
Last certification
Sep 26, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 5, 1974 in MI
Enrollment address
500 N Warren Ave
RM C
Big Rapids, MI 49307-1459

Other NPIs with the same Medicare PAC ID 18

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 18

Other NPIs on the same Medicare enrollment 17

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 17

National Provider Directory

National Provider Directory
Tax ID family
Baldwin Family Hlthcare23 organizations share this tax ID, including this one
Part of
Baldwin Family Hlthcare

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

500 N Warren Ave
Rm C
Big Rapids, MI 49307
Phone (231) 796-9665

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Pamela Panetta Individual Corporate DirectorSecretary Oct 1, 2018
Ashley Hawkins Individual Corporate DirectorBoard Member Jan 23, 2023
Susan Olds Individual Corporate DirectorBoard Member Jul 25, 2019
Mary Martin Individual Corporate DirectorBoard Member Jul 25, 2022
Corey Vanfleet Individual Corporate DirectorBoard Member May 1, 1996
Robert Fisher Individual Corporate DirectorChairman of the Board Apr 1, 1992
Eric Davidson Individual Corporate DirectorVice Chairman of the Board Sep 1, 1986
Seth Wenger Individual Corporate DirectorBoard Member Jul 1, 2024
Julie Tatko Individual Corporate DirectorCeo Sep 1, 2020
W-2 Managing EmployeeCeo Sep 1, 2020
David Glancy Individual Corporate DirectorBoard Member Jul 1, 2024
Mason Husby Individual Corporate OfficerVice President and Cfo Aug 1, 2018
Bruce Whitney Individual Corporate DirectorTreasurer Jan 23, 2014

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1508425778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 COBB ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012588",
            "telephone_number": "231-876-6527",
            "fax_number": "231-876-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N WARREN AVE RM C",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071459",
            "telephone_number": "231-796-9965",
            "fax_number": "231-745-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN FAMILY HEALTH CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BALDWIN FAMILY HEALTH CARE",
        "enumeration_date": "2019-06-11",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "TATKO",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "231-745-2743"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Rapids Middle School Behavioral Health Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Big Rapids Middle School Behavioral Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Big Rapids, MI

Sources for this page

Verify at the official NPI Registry.