Baker County Medical Services Inc.
Organization Active NPI Skilled Nursing Facility · Macclenny, FL
NPI 1831594977 · NPPES record last updated Oct 31, 2014
Key facts
- NPI
- 1831594977
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- SNF1581096 (FL)
- Legal business name
- BAKER COUNTY MEDICAL SERVICES INC.
- Practice address
- 159 N 3Rd St
Macclenny, FL 32063-2103 - Phone
- (904) 259-3151
- Fax
- (904) 653-4695
- NPI assigned
- Oct 31, 2014
- Organization subpart
- No
Authorized official
- Name
- William Steve Dudley
- Title
- Chief Financial Officer
- Phone
- (904) 653-4698
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Baker County Med SVCS Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | SNF1581096 | FL | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021105200 | Medicaid | FL |
Other names
- W.FRANK WELLS NURSING HOME
Other providers in Macclenny, FL
- Baker County Chiropractic Center
- Baker County Council on Aging, Inc
- Baker County Hospital Authority
- Baker County Medical Services Inc
- Baker County Medical Services Inc
- Baker County Medical Services, Inc
- Baker County Medical Services, Inc
- Baker County School Board
- Baker County School Board
- Baker County School Board
All providers in Macclenny, FL · Skilled Nursing Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.