Great Lakes Family Care – Federally Qualified Health Center (FQHC), NPI 1982815932
Federally Qualified Health Center (FQHC)
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Great Lakes Family Care
Baldwin Family Health Care Clinic, 1615, Michigan Avenue, Baldwin, Pleasant Plains Township, Lake County, Michigan, 49304, United States
BALDWIN, MI 493047984
Phone: (231) 745-2743
Type: Mailing
Great Lakes Family Care, 520, Cobb Street, Cadillac, Wexford County, Michigan, 49601, United States
CADILLAC, MI 496012588
Phone: (231) 775-6521
Fax: (231) 876-6519
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-07-19
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (898 days ago).
Enrollment records
2
Earliest due date
2023-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040209001155 | O | Clinic/Group Practice | MI | TBD |
| O20070719000801 | O | Federally Qualified Health Center (Fqhc) | MI | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49304)
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