County of Baker

Primary specialty

AmbulanceTaxonomy code 341600000X

License

2711 Issued in FL

Legal business name

COUNTY OF BAKER

Doing business as

Baker County EMS
Baker County Fire Rescue

Practice address

1190 W Macclenny Ave
Macclenny, FL 32063-0958

Phone

(904) 259-0229

Fax

(904) 259-3923

NPI assigned

Jul 9, 2006

Last updated

Dec 6, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Trevor Nelson

Title

Fire Chief

Phone

(904) 259-0229

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• Baker County EMS Doing business as
• Baker County Fire Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575590400000",
    "number": "1346273455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 W MACCLENNY AVE",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320634458",
            "telephone_number": "904-259-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 W MACCLENNY AVE",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320630958",
            "telephone_number": "904-259-0229",
            "fax_number": "904-259-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF BAKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2019-12-06",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "904-259-0229"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "FL",
            "license": "2711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088018300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "406590650",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baker County EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baker County EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baker County Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in Macclenny, FL
• Providers in Macclenny, FL by specialty
• Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.