Organization
BALDWIN FAMILY HEALTH CARE
Active
Parent organization
BALDWIN FAMILY HEALTH CARE
Other names
Baldwin Family Heatlh Care Vision Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BALDWIN FAMILY HEALTH CARE
Authorized official
JULIE TATKO (ADMINISTRATIVE ASSISTANT)
(231) 745-2743
Entity
Organization
Contact information
Practice address
1101 WASHINGTON ST, BALDWIN, MI 49304
(231) 745-4624
(231) 745-5031
Mailing address
1615 MICHIGAN AVE, BALDWIN, MI 49304-7984
(231) 745-2743
(231) 745-5031
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D36000
BSBSM
MI
Enumeration date
03/01/2018
Last updated
05/30/2023
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