Baldwin Family Health Care
Organization Active NPI Federally Qualified Health Center (FQHC) · Baldwin, MI
NPI 1508961749 · NPPES record last updated Nov 12, 2020
Key facts
- NPI
- 1508961749
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- BALDWIN FAMILY HEALTH CARE
- Practice address
- 1615 Michigan Ave
Baldwin, MI 49304-7984 - Phone
- (231) 745-2736
- Fax
- (231) 745-5050
- NPI assigned
- Sep 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Julie Tatko
- Title
- Ceo
- Phone
- (231) 745-2743
Other NPIs on the same Medicare enrollment 17
Corporate family (same tax ID) 22
Practitioners 7
-
Betsey Jo Baumann-Smeenge, DDS MS
-
Lindsay Fisher, DMD
-
Christopher White, DDS
-
Miranda Bickel, D.M.D.
-
Michael Ferguson, DMD
-
Janet E Fronheiser, D.M.D.
-
Kevin Vance Murphy, DDS
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
National Provider Directory
- Tax ID family
- Rowland Family Health C
Locations
525 4th St
Baldwin, MI 49304
Phone (231) 745-3116
96 E 120th St
Grant, MI 49327
Phone (231) 834-1350
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
1615 Michigan Ave
Baldwin, MI 49304-7984
Mailing address
1615 Michigan Ave
Baldwin, MI 49304-7984
Phone (231) 745-2736
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D804570 | Other | MI | BC GROUP |
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
- Baldwin Family Health Care
- David L Bales
All providers in Baldwin, MI · Federally Qualified Health Center (FQHC) in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2020. 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.