Baldwin County Commission
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Atmore, AL
NPI 1669879144 · NPPES record last updated Nov 26, 2014
Key facts
- NPI
- 1669879144
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- BALDWIN COUNTY COMMISSION
- Practice address
- 23750 Ewing Farm Road
Atmore, AL 36502-0000 - Phone
- (251) 580-1860
- Fax
- (251) 937-0391
- NPI assigned
- Nov 26, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- BALDWIN COUNTY GIRLS RESIDENTIAL WILDERNESS PROGRAM
Authorized official
- Name
- Mrs. Kimberly Witherington Creech
- Title
- Clerk/Treasurer
- Phone
- (251) 937-0303
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Baldwin County Girls Residential Wilderness Program
- Part of
- Baldwin County Girls Residential Wilderness Program
Locations
23750 Ewing Farm Rd
Atmore, AL 36502
Phone (251) 580-1860
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | AL | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 339100025 | Medicaid | AL |
Other names
- Baldwin County Girls Residential Wilderness Program
Other providers in Atmore, AL
- Atmore Ambulance, Inc.
- Atmore Community Home Care, LLC
- Atmore Industrial Medicine, LLC.
- Atmore Nursing Center, LLC
- Bonita Ann Baggett
- Baldwin County Girls Residential Wilderness Program
- Matthew Barnett
- Batfish Emergency Physicians LLC
- Latanja Shanta Bettis
- Tanya Biggs
All providers in Atmore, AL · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.