BAKER COUNTY MEDICAL SERVICES INC — NPI 1104926401 (Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care) in MACCLENNY, FL)

CMS-1500 Box 24J / 33a • NPI

1104926401

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

282NR1301X (CMS A0[7])

Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care)

Box 32 Service Location & ZIP+4

159 N 3RD ST, MACCLENNY, FL, 32063-2103

✓ 9-Digit EDI 837 ZIP+4 (32063-2103)

Practice Phone & Referral Fax

(904) 259-3151

Fax: (904) 259-3279

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1104926401 (BAKER COUNTY MEDICAL SERVICES INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1104926401` (NPI-2 Organization / Facility)
Provider / Legal Name	BAKER COUNTY MEDICAL SERVICES INC
Plain-English Specialty	Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care) NUCC Code: `282NR1301X` (General Acute Care Hospital, Rural)
Certifying / Licensing Body	The Joint Commission (TJC) / CMS Conditions of Participation (CoP)
Practice Location Address	159 N 3RD ST, MACCLENNY, FL, 32063-2103
Practice Telephone / Fax	Tel: (904) 259-3151 \| Fax: (904) 259-3279
Administrative Mailing Address	PO BOX 484, MACCLENNY, FL, 32063-0484
Enumeration & Last Sync	Enumerated: 2006-09-25 \| CMS Record Updated: 2021-06-21
Authorized Official	TIFFANY VARNADOE (CHIEF EXECUTIVE OFFICER)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

159 N 3RD ST, MACCLENNY, FL, 32063-2103

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Plain-English Taxonomy & CMS Crosswalk (282NR1301X)

What Does Taxonomy Code 282NR1301X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 282NR1301X translates to:
"Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A0[7] (Hospitals)
Certifying / Accrediting Authority: The Joint Commission (TJC) / CMS Conditions of Participation (CoP)
Clinical Scope: Acute chest pain, stroke symptoms (F.A.S.T.), severe shortness of breath, major trauma, high fever with sepsis signs, acute abdominal pain, or surgical emergencies.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BAKER COUNTY MEDICAL SERVICES INC)

Typical CPT / Diagnostic Procedures:

Emergency Department Resuscitation & Trauma Stabilization (CPT 99281–99285)
Inpatient Acute Medical & Critical Care Admission (DRG / CPT 99221–99291)
Cross-Sectional Diagnostic Imaging: CT, MRI & Ultrasound
Inpatient General, Orthopedic & Cardiothoracic Surgery
24-Hour Clinical Laboratory, Blood Bank & Microbiology Services

Common Therapeutic Classes:

Broad-Spectrum IV Antimicrobials (Ceftriaxone, Piperacillin-Tazobactam, Vancomycin, Linezolid)
Parenteral Anticoagulants & Thrombolytics (Heparin, Enoxaparin, Alteplase)
Balanced Crystalloid Infusions & Oral Rehydration Protocols
Perioperative Anesthetics, Vasopressors & Analgesics

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`314000000X` — Skilled Nursing Facility Plain English: Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)	State: FL \| License: `SNF1581096` \| Primary: Secondary
`3336C0003X` — Pharmacy, Community/Retail Pharmacy Plain English: Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy	State: FL \| License: `PH13709` \| Primary: Secondary
`3336I0012X` — Pharmacy, Institutional Pharmacy Plain English: Licensed & Credentialed Suppliers — Pharmacy, Institutional Pharmacy	State: FL \| License: `PH9039` \| Primary: Secondary
`3336I0012X` — Pharmacy, Institutional Pharmacy Plain English: Licensed & Credentialed Suppliers — Pharmacy, Institutional Pharmacy	State: FL \| License: `PH13710` \| Primary: Secondary
`282NR1301X` — General Acute Care Hospital, Rural Plain English: Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care)	State: FL \| License: `4152` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BAKER COUNTY MEDICAL SERVICES INC (NPI #1104926401)