| Entity Name: | BAKER COMMUNITY HEALTH CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 18 Sep 2006 (18 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 28 Nov 2017 (7 years ago) |
| Document Number: | N06000009805 |
| FEI/EIN Number | 20-5672300 |
| Address: | 159 NORTH 3RD STREET, MACCLENNY, FL 32063 |
| Mail Address: | P. O. BOX 484, MACCLENNY, FL 32063 |
| ZIP code: | 32063 |
| County: | Baker |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | BAKER COMMUNITY HEALTH CENTER, INC., NEW YORK | 5631144 | NEW YORK |
| Headquarter of | BAKER COMMUNITY HEALTH CENTER, INC., CONNECTICUT | 1303922 | CONNECTICUT |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396807319 | 2006-12-15 | 2021-12-17 | 159 N 3RD ST, MACCLENNY, FL, 320632103, US | 159 N 3RD ST, MACCLENNY, FL, 320632103, US | |||||||||||||||||||
|
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| Phone | +1 904-259-3151 |
| Fax | 9042593279 |
Authorized person
| Name | TIFFANY VARNADOE |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 7064372683 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CATT, TAMRA | Agent | 159 NORTH 3RD STREET, MACCLENNY, FL 32063 |
| Name | Role | Address |
|---|---|---|
| RAULERSON, SHERRIE | Director | 12791 COUNTY RD 125N, GLEN ST MARY, FL 32040 |
| BARTON, PAULA | Director | PO BOX 1875, MACCLENNY, FL 32063 |
| KENNEDY, STEVE | Director | RT 1 BOX 519, MACCLENNY, FL 32063 |
| Name | Role | Address |
|---|---|---|
| VARNADOE, TIFFANY | Chief Executive Officer | 3758 Creek Hollow Lane, Middleburg, FL 32068 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000138787 | DOPSON FAMILY MEDICAL CENTER | ACTIVE | 2020-10-27 | 2025-12-31 | No data | PO BOX 484, MACCLENNY, FL, 32063 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-06 | CATT, TAMRA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-14 | 159 NORTH 3RD STREET, MACCLENNY, FL 32063 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-05-14 | 159 NORTH 3RD STREET, MACCLENNY, FL 32063 | No data |
| AMENDMENT | 2017-11-28 | No data | No data |
| RESTATED ARTICLES | 2013-04-11 | No data | No data |
| RESTATED ARTICLES | 2012-04-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2012-01-05 | 159 NORTH 3RD STREET, MACCLENNY, FL 32063 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-02-03 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-01-27 |
| Reg. Agent Change | 2020-05-14 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-01-31 |
| ANNUAL REPORT | 2018-01-12 |
| Amendment | 2017-11-28 |
| ANNUAL REPORT | 2017-01-09 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
