Baldwin County Girls Residential Wilderness Program

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

BALDWIN COUNTY GIRLS RESIDENTIAL WILDERNESS PROGRAM

Practice address

23750 Ewing Farm Road
Atmore, AL 36502-0000

Phone

(251) 580-1860

Fax

(251) 937-0391

NPI assigned

Feb 19, 2008

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William E Ford

Title

Director

Phone

(251) 580-1860

Specialties & licenses 1

Addresses

Tax ID family

Baldwin County Commission2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Baldwin County Commission

  dba Baldwin County Girls Residential Wilderness Program

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Atmore, AL
  • NPI 1669879144
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Baldwin County Commission

  dba Baldwin County Girls Residential Wilderness Program

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Atmore, AL
  • NPI 1669879144
  NPPES parent name

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669640041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23750 EWING FARM ROAD",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365020000",
            "telephone_number": "251-580-1860",
            "fax_number": "251-937-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23750 EWING FARM ROAD",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365020000",
            "telephone_number": "251-580-1860",
            "fax_number": "251-937-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN COUNTY GIRLS RESIDENTIAL WILDERNESS PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "251-580-1860",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atmore Community Home Care, LLC
• Atmore Industrial Medicine, LLC.
• Atmore Nursing Center, LLC
• Bonita Ann Baggett, RN, DOULA, MIDWIFE
• Baldwin County Commission (Baldwin County Girls Residential Wilderness Program)
• Matthew Barnett, CRNP
• Batfish Emergency Physicians LLC
• Latanja Shanta Bettis, CRNP
• Tanya Biggs, APRN
• Merrilly D Birge, PHARMD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Atmore, AL
• Providers in Atmore, AL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.