| Organization Name: | BAKER COUNTY MEDICAL SERVICES INC |
| NPI Number: | 1386082220 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENNIS R MARKOS (CEO) |
| Mailing Address: | 159 N 3rd St Macclenny |
| State: | FL US |
| Postal Code: | 320632103 |
| Phone Number: | 9042593151 |
| Fax Number: | 9042593279 |
| NPI Enumeration Date: | 06/13/2013 |
| NPI Last Update Date: | 09/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |