Organization
COUNTY OF BAKER
Active
Other names
Baker County Fire Rescue, Baker County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR NELSON (FIRE CHIEF)
(904) 259-0229
Entity
Organization
Contact information
Practice address
1190 W MACCLENNY AVE, MACCLENNY, FL 32063-0958
(904) 259-0229
(904) 259-3923
Mailing address
1190 W MACCLENNY AVE, MACCLENNY, FL 32063-4458
(904) 259-0229
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2711
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088018300
—
FL
01
—
406590650
RAILROAD MEDICARE
FL
Enumeration date
07/09/2006
Last updated
12/06/2019
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