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NPI Code Detail

MEDICARE: BALDWIN PHYSICIAN SERVICES PC

MEDICARE: BALDWIN PHYSICIAN SERVICES PC
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
1208M00000XHospitalist Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DD7762OTHERALRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3G487OTHERALBCBS

General Provider Information

NPI Number : 1891723441
Entity Type Code : Organization
Provider Name (Legal Business Name) : BALDWIN PHYSICIAN SERVICES PC
Provider Business Mailing Address
First Line : PO BOX 830529
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35283-0529
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1815 HAND AVE
Second Line :
City : BAY MINETTE
State : AL
Zip : 36507-4110
Country : US
Telephone Number : 251-435-2646
Fax Number :
Authorized Official
Title or Position : CEO & SEC/TRES
Name : WILLIAM E ADMIRE
Credential : DO
Telephone Number : 251-435-2646
Provider Enumeration Date : 06/30/2006
Last Update Date : 01/10/2013

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Directions to “BALDWIN PHYSICIAN SERVICES PC ” Practice Location

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