{
"Npi": {
"NPI": "1942155981",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BALDWIN AREA MEDICAL CENTER INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1100 BERGSLIEN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BALDWIN",
"MailingAddressStateName": "WI",
"MailingAddressPostalCode": "54002-2600",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "715-684-1111",
"MailingAddressFaxNumber": "715-684-1119",
"FirstLinePracticeLocationAddress": "1100 BERGSLIEN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BALDWIN",
"PracticeLocationAddressStateName": "WI",
"PracticeLocationAddressPostalCode": "54002-2600",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "715-684-1111",
"PracticeLocationAddressFaxNumber": "715-684-1119",
"EnumerationDate": "03/04/2026",
"LastUpdateDate": "03/04/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PELOQUIN",
"AuthorizedOfficialFirstName": "HEATHER",
"AuthorizedOfficialMiddleName": "MICHELLE",
"AuthorizedOfficialTitle": "CREDENTIALING",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "715-684-1553",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}