BALDWIN FAMILY HEALTH CARE – NPI #1790067338
Clinic/Center

BALDWIN FAMILY HEALTH CARE is an AHC clinic located in WHITE CLOUD, MI. NPPES has assigned the NPI number 1790067338 to BALDWIN FAMILY HEALTH CARE on September 09, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. BALDWIN FAMILY HEALTH CARE is also known by the name CHILD AND ADOLESCENT HEALTH CENTER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 6 years ago on Nov 12, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BALDWIN FAMILY HEALTH CARE below.

NPI Profile for
BALDWIN FAMILY HEALTH CARE

NPI Number
1790067338
Enumeration Date

(about 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BALDWIN FAMILY HEALTH CARE
Other Name: CHILD AND ADOLESCENT HEALTH CENTER
Primary location
555 E WILCOX AVE
WHITE CLOUD, MI 49349
Phone: (231) 689-3268 Fax: (231) 689-1030
Mailing address
1615 MICHIGAN AVE
BALDWIN, MI 49304-7984
Phone: (231) 745-5045 Fax: (231) 745-5031
Organization Subpart
Yes - BALDWIN FAMILY HEALTH CARE is subpart of another organization.
Authorized Official
JULIE TATKO
CEO
Phone: (231) 745-2743
Updated
Certification Date
Nov 12, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BALDWIN FAMILY HEALTH CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS GROUP0D36000
OTHERFQHC SITE IDBPS-H80-010523
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
261QS1000X
- Clinic/Center / Student Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.