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Organization
BAKER COUNTY MEDICAL SERVICES INC
Active
Organization
BAKER COUNTY MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY VARNADOE (CHIEF EXECUTIVE OFFICER)
(904) 259-3151
Entity
Organization
Contact information
Practice address
159 N 3RD ST, MACCLENNY, FL 32063-2103
(904) 259-3151
(904) 259-3279
Mailing address
PO BOX 484, MACCLENNY, FL 32063-0484
(904) 259-3151
(904) 259-3279
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
4152
FL
314000000X
Skilled Nursing Facility
SNF1581096
FL
3336C0003X
Community/Retail Pharmacy
PH13709
FL
3336I0012X
Institutional Pharmacy
PH13710
FL
3336I0012X
Institutional Pharmacy
PH9039
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010004800
—
FL
05
—
021105200
—
FL
05
—
022384100
—
FL
05
—
266702900
—
FL
Enumeration date
09/25/2006
Last updated
06/21/2021
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