Organization Active NPI

La Clinica de Baldwin/the Baldwin Clinic, Inc.

  • Family Medicine Physician
  • Foley, AL
National Provider Identifier
1770520736
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LA CLINICA DE BALDWIN/THE BALDWIN CLINIC, INC.
Practice address
1628 N McKenzie St
Suite 102
Foley, AL 36535-2248
Phone
(251) 947-1083
Fax
(251) 947-1084
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Mr. Charles M. Trainor
Title
Ceo
Phone
(251) 947-3305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1628 N McKenzie St
Suite 102
Foley, AL 36535-2248

Mailing address

1628 N McKenzie St
Suite 102
Foley, AL 36535-2248
Phone (251) 947-1083

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1770520736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 N MCKENZIE ST",
            "address_2": "SUITE 102",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352248",
            "telephone_number": "251-947-1083",
            "fax_number": "251-947-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 N MCKENZIE ST",
            "address_2": "SUITE 102",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352248",
            "telephone_number": "251-947-1083",
            "fax_number": "251-947-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CLINICA DE BALDWIN/THE BALDWIN CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "TRAINOR",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "251-947-3305",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.