BAKER RURAL HEALTH CLINIC – NPI #1386082220
Clinic/Center

BAKER RURAL HEALTH CLINIC is an AHC clinic located in MACCLENNY, FL. NPPES has assigned the NPI number 1386082220 to BAKER RURAL HEALTH CLINIC on June 13, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BAKER RURAL HEALTH CLINIC” is a dba name, the actual legal business name for this organization is BAKER COUNTY MEDICAL SERVICES INC. The primary taxonomy selected by this provider is 261QR1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rural Health

The NPI profile was previously updated about 5 years ago on Jun 21, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BAKER RURAL HEALTH CLINIC below.

NPI Profile for
BAKER COUNTY MEDICAL SERVICES INC

NPI Number
1386082220
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BAKER COUNTY MEDICAL SERVICES INC
Doing Business As (dba): BAKER RURAL HEALTH CLINIC
Primary location
159 N 3RD ST
MACCLENNY, FL 32063-2103
Phone: (904) 259-3151 Fax: (904) 259-3279
Mailing address
Same as primary location
Organization Subpart
Yes - BAKER RURAL HEALTH CLINIC is subpart of another organization.
Authorized Official
TIFFANY VARNADOE
CEO
Phone: (904) 259-3151
Updated
Certification Date
Jun 21, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR1300X
- Clinic/Center / Rural Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.