Provider Demographics
NPI:1568775914
Name:BALDWIN AREA MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:BALDWIN AREA MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:H
Authorized Official - Last Name:PAGE
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:715-684-8615
Mailing Address - Street 1:1100 BERGSLIEN ST
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:WI
Mailing Address - Zip Code:54002-2600
Mailing Address - Country:US
Mailing Address - Phone:715-684-1111
Mailing Address - Fax:715-684-1119
Practice Address - Street 1:503 CHERRY LN
Practice Address - Street 2:
Practice Address - City:ROBERTS
Practice Address - State:WI
Practice Address - Zip Code:54023-9731
Practice Address - Country:US
Practice Address - Phone:715-684-3311
Practice Address - Fax:715-684-6764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-14
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center