BALDWIN FAMILY HEALTH CARE (NPI# 1578069514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578069514 |
| Entity Type | Organization |
| Organization Name | BALDWIN FAMILY HEALTH CARE |
| Other Organization Name | BEHAVIORAL HEALTH HS BALDWIN |
| Practice Address |
525 4th St Baldwin MI 49304-9518 |
| Mailing Address |
1615 Michigan Ave Baldwin MI 49304-7984 |
| Practice Telephone | 2317453116 |
| Practice Fax Number | 2317453136 |
| Mailing Telephone | 2317452743 |
| Mailing Fax Number | 2317455031 |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |
| Authorized Official Name | DEBORAH VAYDA (ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 2317455045 |
| Is Organization Subpart | Y |
| Parent Organization Name | BALDWIN FAMILY HEALTH CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Behavioral Health HS Baldwin | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750940672 | Baldwin Family Health Care | Counselor | 331 E State Rd Rm N8, Grant, MI 49327-8504 | 2019-06-13 |
| 1528627700 | Baldwin Family Health Care | Social Worker | 850 76th St Rm 101g, Newaygo, MI 49337-7930 | 2019-06-11 |
| 1700329521 | Baldwin Family Health Care | Clinic/Center | 17445 Pine River Rd, Leroy, MI 49655 | 2016-11-28 |
| 1669759437 | Baldwin Family Health Care | Clinic/Center | 96 E 120th St Rm N8, Grant, MI 49327-8502 | 2011-11-08 |
| 1083825046 | Baldwin Family Health Care | Family Medicine | 117 S Roland St, Mc Bain, MI 49657-9546 | 2007-05-24 |
| 1104891696 | Baldwin Family Health Care | Pharmacy | 1035 E Wilcox Ave, White Cloud, MI 49349-8794 | 2006-02-20 |
| 1578181004 | Baldwin Family Health Care | Dentist | 605 Oak St, Big Rapids, MI 49307-2048 | 2020-07-10 |
| 1689299018 | Baldwin Family Health Care | Dentist | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-06-11 |
| 1689229197 | Baldwin Family Health Care | Clinic/Center | 730 Water Tower Rd, Big Rapids, MI 49307-2160 | 2019-08-02 |
| 1508425778 | Baldwin Family Health Care | Counselor | 500 N Warren Ave Rm C, Big Rapids, MI 49307-1459 | 2019-06-11 |
| Street Address |
525 4TH ST |
| City | BALDWIN |
| State | MI |
| Zip Code | 49304-9518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306875604 | Wanda Jean Ottinger | Physician Assistant | 525 4th St, Baldwin, MI 49304-9518 | 2006-07-01 |
| 1548766371 | Shannon Sobczak | Social Worker | 525 4th St, Baldwin, MI 49304-9518 | 2018-04-02 |
| 1447636238 | Sharon Benner | Registered Nurse | 525 4th St, Baldwin, MI 49304-9518 | 2015-08-04 |
| 1801016613 | Baldwin Family Health Care | Clinic/Center | 525 4th St, Baldwin, MI 49304 | 2007-04-26 |
| 1003991530 | Audrey Lynn Keller | Family Medicine | 525 4th St, Baldwin, MI 49304-9518 | 2006-10-25 |
| 1710906961 | Ronald W Moesta | Social Worker | 525 4th St, Baldwin, MI 49304-9518 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154592285 | Professional Dental Associates PC | Dentist | 888 Michigan Ave, Baldwin, MI 49304 | 2008-03-17 |
| 1437250941 | Pamela Sue Alley | Nurse Practitioner | 1234 Washington Ave, Vision of Health, Baldwin, MI 49304 | 2006-09-26 |
| 1902308463 | Baldwin Family Health Care | Clinic/Center | 1101 Washington St, Baldwin, MI 49304 | 2018-03-01 |
| 1528499233 | Lisa Joan West | Nurse Practitioner | 1615 Michigan Ave, Baldwin, MI 49304 | 2013-12-05 |
| 1578713798 | Tracy Lynne Moody | Nurse Practitioner | 1615 Michigan Ave, Baldwin, MI 49304 | 2008-09-24 |
| 1932248143 | John Carl Hodges | Counselor | 1615 Michigan Ave, Baldwin, MI 49304 | 2007-02-05 |
| 1467468819 | Maurice James Sutton | Dentist | 1615 Michigan Ave, Balduoin, MI 49304 | 2006-07-31 |
| 1376559724 | Oliver D Grin | Neurological Surgery | 1615 Michigan Ave, Baldwin, MI 49304 | 2006-07-31 |
| 1508891813 | Stephen Kozak | Dentist | 1615 Michigan Ave, Baldwin, MI 49304 | 2006-07-12 |
| 1689609992 | Donald H French | Dentist | 1615 Michigan Ave, Baldwin, MI 49304 | 2006-07-12 |
| Find all providers in zip 49304 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902082811 | Teche Action Board, Inc. | Clinic/Center | 18331 Highway 182, Baldwin, LA 70514-1449 | 2008-01-10 |
| 1902308463 | Baldwin Family Health Care | Clinic/Center | 1101 Washington St, Baldwin, MI 49304 | 2018-03-01 |
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| 1053948265 | Upper Great Lakes Family Health Center | Clinic/Center | 1414 W Fair Ave Ste 242, Marquette, MI 49855-5406 | 2020-03-26 |
| 1568096923 | Grace Health, Inc. | Clinic/Center | 825 Capital Ave Ne, Battle Creek, MI 49017-5605 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.