# BAKER COUNTY MEDICAL SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BAKER COUNTY MEDICAL SERVICES INC
- **Other names:** BAKER RURAL HEALTH CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386082220
- **Legal business name:** BAKER COUNTY MEDICAL SERVICES INC
- **Authorized official:** MR. TIFFANY VARNADOE (CEO)
- **Authorized official phone:** (904) 259-3151

## Contact information

- **Practice address:** 159 N 3RD ST, MACCLENNY, FL 32063-2103
- **Practice address phone:** (904) 259-3151
- **Practice address fax:** (904) 259-3279
- **Mailing address:** 159 N 3RD ST, MACCLENNY, FL 32063-2103
- **Mailing address phone:** (904) 259-3151
- **Mailing address fax:** (904) 259-3279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/13/2013
- **Last updated:** 06/21/2021