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NPI Code Detail

MEDICARE: BALDWIN FAMILY HEALTH CARE

MEDICARE: BALDWIN FAMILY HEALTH CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1578069514
Entity Type Code : Organization
Provider Name (Legal Business Name) : BALDWIN FAMILY HEALTH CARE
Provider Business Mailing Address
First Line : 1615 MICHIGAN AVE
Second Line :
City : BALDWIN
State : MI
Zip : 49304-7984
Country : US
Telephone Number : 231-745-2743
Fax Number : 231-745-5031
Provider Business Practice Location Address
First Line : 525 4TH ST
Second Line :
City : BALDWIN
State : MI
Zip : 49304-9518
Country : US
Telephone Number : 231-745-3116
Fax Number : 231-745-3136
Authorized Official
Title or Position : ENROLLMENT SPECIALIST
Name : DEBORAH VAYDA
Credential :
Telephone Number : 231-745-5045
Provider Enumeration Date : 03/30/2018
Last Update Date : 03/30/2018

Similar Medicare Providers

1376571182 — MATTHEW J STEEL PA
Practice Location Address:
525 4TH ST
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49304-9518
Practice Phone: 231-745-3116
Practice Fax: 231-745-3136
1306875604 — WANDA JEAN OTTINGER PA-C
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1003991530 — AUDREY LYNN KELLER PA-C
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1295135192 — MICHELLE ELIZABETH GLASGOW MA,LPC,NCC
Practice Location Address:
525 4TH ST
BALDWIN, MI
49304-9518
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Practice Fax: 231-745-3136
1447636238 — SHARON BENNER C.P.N.P.
Practice Location Address:
525 4TH ST
BALDWIN, MI
49304-9518
Practice Phone: 231-745-3116
Practice Fax: 231-745-3136
1518482397 — PRISCILLA ANGLEMYER
Practice Location Address:
525 4TH ST
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49304-9518
Practice Phone: 231-745-3116
Practice Fax: 231-745-3136

Directions to “BALDWIN FAMILY HEALTH CARE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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