Provider Demographics
NPI:1215474085
Name:CASE BALDWIN HEALTHCARE SYSTEMS, INC.
Entity type:Organization
Organization Name:CASE BALDWIN HEALTHCARE SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRADFORD
Authorized Official - Middle Name:D
Authorized Official - Last Name:MIOTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-292-3334
Mailing Address - Street 1:125 S WEST ST STE 121
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67213-2114
Mailing Address - Country:US
Mailing Address - Phone:844-292-3334
Mailing Address - Fax:
Practice Address - Street 1:125 S WEST ST STE 121
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67213-2114
Practice Address - Country:US
Practice Address - Phone:844-292-3334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-31
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies