Organization
BALDWIN FAMILY HEALTH CARE
Active
Other names
Family Health Care Grant
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE TATKO (CEO)
(231) 745-2743
Entity
Organization
Contact information
Practice address
11 N MAPLE ST, GRANT, MI 49327-7900
(231) 834-0444
(231) 834-0200
Mailing address
1615 MICHIGAN AVE, BALDWIN, MI 49304-7984
(231) 745-4624
(231) 745-5031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D36000
BCBS
MI
01
—
700D360000
BCN
MI
Enumeration date
08/30/2006
Last updated
11/12/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us