Organization
BALDWIN FAMILY HEALTH CARE
Active
Organization
BALDWIN FAMILY HEALTH CARE
Active
Parent organization
BALDWIN FAMILY HEALTH CARE
Other names
Child and Adolescent Heatlh Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BALDWIN FAMILY HEALTH CARE
Authorized official
JULIE TATKO (CEO)
(231) 745-2743
Entity
Organization
Contact information
Practice address
96 E 120TH ST, GRANT, MI 49327-8502
(231) 834-1350
(231) 834-1355
Mailing address
520 COBB ST, CADILLAC, MI 49601-2588
(231) 834-1350
(231) 876-6519
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QS1000X
Student Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D36000
BCBS GROUP
—
Enumeration date
11/08/2011
Last updated
08/10/2026
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