| Child And Adolescent Health Center | |
|
525 4th St Baldwin MI 49304 | |
| (231) 745-3116 | |
| (231) 745-3136 |
| Full Name | Child And Adolescent Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 525 4th St, Baldwin, Michigan |
| Authorized Official Name and Position | Julie Tatko (CEO) |
| Authorized Official Contact | 2317452743 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Adolescent Health Center 1615 Michigan Ave Baldwin MI 49304-7984 Ph: (231) 745-5045 | Child And Adolescent Health Center 525 4th St Baldwin MI 49304 Ph: (231) 745-3116 |
| NPI Number | 1801016613 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 11/12/2020 |
| Medicare PECOS PAC ID | 1153215413 |
|---|---|
| Medicare Enrollment ID | O20120601000418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801016613 | NPI | - | NPPES |
| 0D36000 | Other | BLUE CROSS GROUP | |
| BPS-H80-001144 | Other | FQHC SITE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Secondary |
Vision Of Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1234 Washington St, Baldwin, MI 49304 Phone: 231-745-4914 Fax: 231-745-4922 | |
Behavioral Health Hs Baldwin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 4th St, Baldwin, MI 49304 Phone: 231-745-3116 Fax: 231-745-3136 | |
Baldwin Family Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1615 Michigan Ave, Baldwin, MI 49304 Phone: 231-745-4624 Fax: 231-745-5031 |