BALDWIN FAMILY HEALTH CARE (NPI# 1790067338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790067338 |
Entity Type | Organization |
Organization Name | BALDWIN FAMILY HEALTH CARE |
Other Organization Name | CHILD AND ADOLESCENT HEALTH CENTER |
Practice Address |
555 E Wilcox Ave White Cloud MI 49349 |
Mailing Address |
1615 Michigan Ave Baldwin MI 49304-7984 |
Practice Telephone | 2316893268 |
Practice Fax Number | 2316891030 |
Mailing Telephone | 2317455045 |
Mailing Fax Number | 2317455031 |
Enumeration Date | 2011-09-09 |
Last Update Date | 2018-06-12 |
Authorized Official Name | PATRICIA R CLARK (ADMINISTRATIVE ASSISTANT) |
Authorized Official Telephone | 2316897682 |
Is Organization Subpart | Y |
Parent Organization Name | BALDWIN FAMILY HEALTH CARE |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BLUE CROSS GROUP | 0D36000 | 01 | |
FQHC SITE ID | BPS-H80-010523 | 01 |
Other Name | Type Code |
---|---|
Child and Adolescent Health Center | 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 |
555 E WILCOX AVE |
City | WHITE CLOUD |
State | MI |
Zip Code | 49349 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407884257 | Stephen Dehaan | Physician Assistant | 555 E Wilcox Ave, White Cloud, MI 49349-7512 | 2006-06-29 |
1265889281 | Kaylee N Carr | Social Worker | 555 E Wilcox Ave, White Cloud, MI 49349-7512 | 2016-05-19 |
1598011736 | Heather Marie Derwin | Social Worker | 555 E Wilcox Ave, White Cloud, MI 49349-7512 | 2012-07-25 |
1174834204 | Melanie L Pell | Counselor | 555 E Wilcox Ave, White Cloud, MI 49349-7512 | 2010-06-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174032361 | Melissa Esterling | Counselor | 1197 E James St, White Cloud, MI 49349 | 2017-09-20 |
1427486893 | Suzanne Singelyn | Counselor | 1049 E. Newell St., White Cloud, MI 49349 | 2013-10-23 |
1902173784 | Jennifer Leigh James-witteveen | Social Worker | 1049 Newell, White Cloud, MI 49349 | 2011-11-22 |
1801001094 | Stephanie Louise Schoenlein | Dental Hygienist | 1033 E. Wilcox Ave, White Cloud, MI 49349 | 2007-05-11 |
1265647549 | Angela Louise King | Dental Hygienist | 1033 East Wilcox Ave., White Cloud, MI 49349 | 2007-05-11 |
1619189206 | Rural Home Care Services, Inc. | Home Health | 230 N. Charles, White Cloud, MI 49349 | 2007-05-04 |
1497780704 | Frederick J Schmidt | Dentist | 126 Benson, White Cloud, MI 49349 | 2006-07-12 |
1306347356 | Keith David Bogucki | Social Worker | 1049 Newell, P.o. Box 867, White Cloud, MI 49349 | 2018-02-26 |
1982974143 | James H. Davis | Nurse Practitioner | 1035 E Wilcox Ave, White Cloud, MI 49349 | 2012-01-05 |
1598902314 | Aaron Charles Greene | Physician Assistant | 1049 E Newell St, White Cloud, MI 49349 | 2009-01-15 |
Find all providers in zip 49349 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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Find all providers with the same taxonomy |
City | WHITE CLOUD |
Zip Code | 49349 |
Please comment or provide details below to improve the information on BALDWIN FAMILY HEALTH CARE.
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.