Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural |
282NR1301X | |||
Community/Retail Pharmacy |
3336C0003X | 58 | Medical Supply Company with Pharmacist | |
Institutional Pharmacy |
3336I0012X | 58 | Medical Supply Company with Pharmacist | |
Skilled Nursing Facility |
314000000X | A1[8] | Skilled Nursing Facility |
| NPI Number | 1104926401 |
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| LBN Legal business name | BAKER COUNTY MEDICAL SERVICES INC | ||||||||||||||||||||||||||||||||||||
| Authorized official | TIFFANY VARNADOE - (CHIEF EXECUTIVE OFFICER) | ||||||||||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||||||||||||||
| Enumeration date | 09/25/2006 | ||||||||||||||||||||||||||||||||||||
| Last updated | 06/21/2021 - About 5 years ago | ||||||||||||||||||||||||||||||||||||
| Identifiers |
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BAKER COUNTY MEDICAL SERVICES INC
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