Active NPI
Baker County Hospital Authority
- Skilled Nursing Facility
- Macclenny, FL
National Provider Identifier
1174761613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1581096
- Legal business name
- BAKER COUNTY HOSPITAL AUTHORITY
- Practice address
- 159 N 3Rd St
Macclenny, FL 32063-2103 - Phone
- (904) 259-3151
- Fax
- (904) 259-3279
- NPI assigned
- Jan 21, 2009
- Last updated
- Jan 21, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Glenn McKendree
- Title
- Chairman of Board
- Phone
- (904) 259-3151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1581096 | FL | Primary |
Addresses
Primary practice location
159 N 3Rd St
Macclenny, FL 32063-2103
Mailing address
159 N 3Rd St
Macclenny, FL 32063-2103
Phone (904) 259-3151
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1232496000000",
"number": "1174761613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 N 3RD ST",
"city": "MACCLENNY",
"state": "FL",
"postal_code": "320632103",
"telephone_number": "904-259-3151",
"fax_number": "904-259-3279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 N 3RD ST",
"city": "MACCLENNY",
"state": "FL",
"postal_code": "320632103",
"telephone_number": "904-259-3151",
"fax_number": "904-259-3279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAKER COUNTY HOSPITAL AUTHORITY",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-21",
"last_updated": "2009-01-21",
"status": "A",
"authorized_official_last_name": "MCKENDREE",
"authorized_official_first_name": "GLENN",
"authorized_official_title_or_position": "CHAIRMAN OF BOARD",
"authorized_official_telephone_number": "904-259-3151",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "1581096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macclenny, FL
- Baker Community Counseling Services, Inc.
- Baker Community Health Center Inc
- Baker Community Medical Practice Inc (Dopson Family Medical Center)
- Baker County Chiropractic Center
- Baker County Council on Aging, Inc
- Baker County Medical Services Inc
- Baker County Medical Services Inc (Baker Rural Health Clinic)
- Baker County Medical Services Inc. (W.Frank Wells Nursing Home)
- Baker County Medical Services, Inc (Ed Fraser Memorial Hospital)
- Baker County Medical Services, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.