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ED FRASER MEMORIAL HOSPITAL
NPI 1093468688
Pharmacy - Community/Retail Pharmacy in Macclenny, FL

Active since February 02, 2022
159 N 3RD ST, MACCLENNY, FL 32063(904) 259-3151(904) 653-4669 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 25, 2024, Feb 2, 2022 (2 updates tracked since 2022).

About Ed Fraser Memorial Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ED FRASER MEMORIAL HOSPITAL (NPI 1093468688) is a healthcare organization registered as a community/retail pharmacy in Macclenny, Florida and active in the NPI registry since February 2022. The organization lists Tiffany Varnadoe, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093468688
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBAKER COUNTY MEDICAL SERVICES, INC
Location Address159 N 3RD STMacclenny, FL 32063-2103
Mailing Address159 N 3rd StMacclenny, FL 32063-2103 · (904) 259-3151 · Fax (904) 653-4669
Phone(904) 259-3151
Fax(904) 653-4669
Organization SubpartYesParent: Baker County Medical Services Inc
Authorized OfficialTiffany VarnadoeCeo · (706) 437-2683
Enumeration DateFebruary 2, 2022
Last NPPES UpdateJune 25, 20242 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1093468688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
159 N 3RD ST, Macclenny, FL 32063
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Other Names 1

Doing Business AsEd Fraser Memorial Hospital

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D0267074

Ed Fraser Memorial Hospital · Macclenny, FL
Expired · Jul 31, 2026
CLIA Number10D0267074
Laboratory TypeHospital
Certificate Effective DateAugust 1, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorAmanda M. Aronchick
Laboratory Phone(904) 259-3151
Laboratory LocationEd Fraser Memorial Hospital159 North Third Street, Macclenny, FL 32063
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAKER COMMUNITY MEDICAL PRACTICE INC
Clinic/Center
159 N 3RD ST
MACCLENNY, FL 32063
Baker County (904) 259-3151
ANAVA EMERGENCY CONSULTANTS LLC
Clinic/Center (Emergency Care)
159 N 3RD ST
MACCLENNY, FL 32063
Baker County (904) 259-3151
MARCHETA CREWS ARNP
Nurse Practitioner (Family)
159 N 3RD ST
MACCLENNY, FL 32063
Baker County (904) 259-3151
LINDA LOUISE HEILMAN ARNP
Nurse Practitioner (Family)
159 N 3RD ST
MACCLENNY, FL 32063
Baker County (904) 259-3151
FIRST COAST IMAGING, LLC
Specialist
159 N 3RD ST
MACCLENNY, FL 32063
Baker County (904) 733-7800
BAKER COUNTY MEDICAL SERVICES INC
General Acute Care Hospital (Rural)
159 N 3RD ST
MACCLENNY, FL 32063
Baker County (904) 259-3151
GAURI RAHUL DALVI M.D., PH.D
Pediatrics
159 N 3RD ST
MACCLENNY, FL 32063
Baker County (904) 259-7815
BAKER COUNTY HOSPITAL AUTHORITY
Skilled Nursing Facility
159 N 3RD ST
MACCLENNY, FL 32063
Baker County (904) 259-3151

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Baker County Medical Services, Inc's NPI number?

The NPI number for Baker County Medical Services, Inc is 1093468688. It was assigned to this organization in the NPPES registry on February 2, 2022. The provider is doing business as Ed Fraser Memorial Hospital.

Where is Baker County Medical Services, Inc located?

Baker County Medical Services, Inc is located at 159 N 3rd St, Macclenny, FL 32063. The listed phone number is (904) 259-3151.

What is Baker County Medical Services, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Baker County Medical Services, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 34 other insurers list Baker County Medical Services, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Baker County Medical Services, Inc was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.