Organization Active NPI

Baldwin County Commission

Doing business as Baldwin County Girls Residential Wilderness Program

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Atmore, AL
National Provider Identifier
1669879144
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
BALDWIN COUNTY COMMISSION
Doing business as
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
Nov 26, 2014
Last updated
Nov 26, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
BALDWIN COUNTY GIRLS RESIDENTIAL WILDERNESS PROGRAMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Authorized official

Name
Mrs. Kimberly Witherington Creech
Title
Clerk/Treasurer
Phone
(251) 937-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X AL Primary

Addresses

Primary practice location

23750 Ewing Farm Road
Atmore, AL 36502-0000

Mailing address

23750 Ewing Farm Road
Atmore, AL 36502-0000
Phone (251) 580-1860

Other names 1

  • Baldwin County Girls Residential Wilderness Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baldwin County Commission2 organizations share this tax ID, including this one
Part of
Baldwin County Commission

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1669879144",
    "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 COMMISSION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BALDWIN COUNTY GIRLS RESIDENTIAL WILDERNESS PROGRAM",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "CREECH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "WITHERINGTON",
        "authorized_official_title_or_position": "CLERK/TREASURER",
        "authorized_official_telephone_number": "251-937-0303",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": [
        {
            "organization_name": "Baldwin County Girls Residential Wilderness Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atmore, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.