GREAT LAKES FAMILY CARE – NPI #1982815932
Clinic/Center

GREAT LAKES FAMILY CARE is an AHC clinic located in CADILLAC, MI. NPPES has assigned the NPI number 1982815932 to GREAT LAKES FAMILY CARE on May 24, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GREAT LAKES FAMILY CARE” is a dba name, the actual legal business name for this organization is BALDWIN FAMILY HEALTH CARE. 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) Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

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 GREAT LAKES FAMILY CARE below.

NPI Profile for
BALDWIN FAMILY HEALTH CARE

NPI Number
1982815932
Enumeration Date

(more than 19 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
Doing Business As (dba): GREAT LAKES FAMILY CARE
Primary location
520 COBB ST
CADILLAC, MI 49601-2588
Phone: (231) 775-6521 Fax: (231) 876-6519
Mailing address
1615 MICHIGAN AVE
BALDWIN, MI 49304-7984
Phone: (231) 745-2743 Fax:
Organization Subpart
Yes - GREAT LAKES FAMILY 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 GREAT LAKES FAMILY 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
OTHERBCBS0D36000
OTHERBCNMI700D360000
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.

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.