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BAKER COUNTY MEDICAL SERVICES, INC. - Florida Company Profile

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Company Details

Entity Name: BAKER COUNTY MEDICAL SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 26 Jul 1993 (32 years ago)
Last Event: AMENDMENT
Event Date Filed: 22 Nov 2017 (8 years ago)
Document Number: N93000003341
FEI/EIN Number 593202547

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 159 NORTH 3RD STREET, MACCLENNY, FL, 32063, US
Mail Address: P. O. BOX 484, MACCLENNY, FL, 32063, US
ZIP code: 32063
County: Baker
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
KENNEDY STEVE Director RT 1 BOX 519, MACCLENNY, FL, 32063
WILSON CHARLES Director 752 GRIFFIN CIR, MACCLENNY, FL, 32063
RAULERSON SHERRIE Director 12791 COUNTY RD 125N, GLEN ST MARY, FL, 32040
WILLIAMS LUANNE Director P. O. BOX 484, MACCLENNY, FL, 32063
RHODEN PHILLIP E Director P. O. BOX 484, MACCLENNY, FL, 32063
BARTON PAULA Director P. O. BOX 484, MACCLENNY, FL, 32063
CATT TAMRA Agent 159 NORTH 3RD STREET, MACCLENNY, FL, 32063

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
J5EUMDNZLQZ4
CAGE Code:
8R4A7
UEI Expiration Date:
2026-02-17

Business Information

Activation Date:
2025-02-20
Initial Registration Date:
2020-10-01

National Provider Identifier

NPI Number:
1093468688
Certification Date:
2024-06-25

Authorized Person:

Name:
TIFFANY VARNADOE
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
3336L0003X - Long Term Care Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
9046534669

Form 5500 Series

Employer Identification Number (EIN):
593202547
Plan Year:
2018
Number Of Participants:
234
Sponsors DBA Name:
ED FRASER MEMORIAL HOSPITAL, W FRANK WELLS NURSING HOME
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
221
Sponsors DBA Name:
ED FRASER MEMORIAL HOSPITAL, W FRANK WELLS NURSING HOME
Plan Year:
2016
Number Of Participants:
209
Sponsors DBA Name:
ED FRASER MEMORIAL HOSPITAL, W FRANK WELLS NURSING HOME
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
195
Sponsors DBA Name:
ED FRASER MEMORIAL HOSPITAL, W FRANK WELLS NURSING HOME
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
230
Sponsors DBA Name:
ED FRASER MEMORIAL HOSPITAL, W FRANK WELLS NURSING HOME
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000138225 W FRANK WELLS NURSING HOME ACTIVE 2020-10-26 2025-12-31 - POST OFFICE BOX 484, 210 NORTH SECOND STREET, MACCLENNY, FL, 32063
G14000096382 BAKER COMMUNITY HEALTH CENTER INC ACTIVE 2014-09-23 2029-12-31 - P.O. BOX 467, MACCLENNY, FL, 32063
G14000091822 W FRANK WELLS NURSING HOME EXPIRED 2014-09-04 2019-12-31 - POST OFFICE BOX 484, 210 NORTH SECOND STREET, MACCLENNY, FL, 32063
G13000106274 BAKER RURAL HEALTH CLINIC ACTIVE 2013-10-22 2028-12-31 - POST OFFICE BOX 484, MACCLENNY, FL, 32063
G01176900081 ED FRASER MEMORIAL HOSPITAL ACTIVE 2001-06-26 2026-12-31 - 159 N 3RD STREET, MACCLENNY, FL, 32063

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-02-06 CATT, TAMRA -
CHANGE OF PRINCIPAL ADDRESS 2020-05-14 159 NORTH 3RD STREET, MACCLENNY, FL 32063 -
CHANGE OF MAILING ADDRESS 2020-05-14 159 NORTH 3RD STREET, MACCLENNY, FL 32063 -
REGISTERED AGENT ADDRESS CHANGED 2020-05-14 159 NORTH 3RD STREET, MACCLENNY, FL 32063 -
AMENDMENT 2017-11-22 - -

Court Cases

Title Case Number Docket Date Status
Wesley F. White, Appellant(s) v. Baker County Medical Services, Inc., a Florida Not for Profit Corporation, d/b/a Ed Fraser Memorial Hospital, and Baker County Hospital Authority, a public, not for profit authority, created by the Florida Legislature, Appellee(s). 1D2024-2723 2024-10-21 Open
Classification NOA Final - Circuit Civil - Other
Court 1st District Court of Appeal
Originating Court Circuit Court for the Eighth Judicial Circuit, Baker County
02-2024-CA-000064

Parties

Name Wesley Forrest White
Role Appellant
Status Active
Representations Jonathan Anthony Martin
Name Ed Fraser Memorial Hospital
Role Appellee
Status Active
Representations Robert Best Buchanan, David B Goulfine, Jason Paul Del Rosso
Name Baker County Hospital Authority
Role Appellee
Status Active
Representations Bruce Wayne Robinson, Kris Robinson
Name Hon. Sean David Brewer
Role Judge/Judicial Officer
Status Active
Name Baker Clerk
Role Lower Tribunal Clerk
Status Active
Name BAKER COUNTY MEDICAL SERVICES, INC.
Role Appellee
Status Active
Representations Robert Best Buchanan, David B Goulfine, Jason Paul Del Rosso

Docket Entries

Docket Date 2024-10-30
Type Notice
Subtype Notice of Appearance
Description Notice of Appearance
On Behalf Of Baker County Medical Services, Inc.
Docket Date 2024-10-23
Type Misc. Events
Subtype Docketing Statement
Description Docketing Statement
On Behalf Of Wesley Forrest White
View View File
Docket Date 2024-10-23
Type Event
Subtype Fee Paid in Full
Description Fee Paid in Full
View View File
Docket Date 2024-10-22
Type Letter
Subtype Acknowledgment Letter
Description Acknowledgment Letter
View View File
Docket Date 2024-10-21
Type Misc. Events
Subtype Order Appealed
Description Order Appealed
On Behalf Of Baker Clerk
Docket Date 2024-10-21
Type Notice
Subtype Notice of Appeal
Description Notice of Appeal, order attached
On Behalf Of Wesley Forrest White
Docket Date 2024-12-27
Type Notice
Subtype Notice of Agreed Extension of Time - Initial Brief
Description Notice of Agreed Extension of Time - Initial Brief 30 days 01/29/25
On Behalf Of Wesley Forrest White
Docket Date 2024-12-18
Type Record
Subtype Record on Appeal Redacted
Description Record on Appeal Redacted-534 pages
On Behalf Of Baker Clerk
WEST JACKSONVILLE MEDICAL CENTER, INC., ETC. VS BAKER COUNTY MEDICAL SERVICES INC., ETC., ET AL. SC2015-2218 2015-12-02 Closed
Classification Discretionary Review - Notice to Invoke - Direct Conflict of Decisions
Court Supreme Court of Florida
Originating Court Circuit Court for the Second Judicial Circuit, Leon County
372013CA003419XXXXXX

Circuit Court for the Second Judicial Circuit, Leon County
1D14-4988

Parties

Name WEST JACKSONVILLE MEDICAL CENTER, INC.
Role Petitioner
Status Active
Representations Mr. Stephen Alexander Ecenia, R. DAVID PRESCOTT, J. Stephen Menton
Name D/B/A ED FRASER MEMORIAL HOSPITAL
Role Respondent
Status Active
Name BAKER COUNTY MEDICAL SERVICES, INC.
Role Respondent
Status Active
Representations Susan C. Smith, KARA LESLIE GROSS, Geoffrey D. Smith
Name Florida Agency for Health Care Administration
Role Respondent
Status Active
Representations Tracy Lee Cooper George
Name Hon. James C. Hankinson
Role Judge/Judicial Officer
Status Active
Name Jon S. Wheeler
Role Lower Tribunal Clerk
Status Active
Name HON. BOB INZER, CLERK
Role Lower Tribunal Clerk
Status Active

Docket Entries

Docket Date 2015-12-16
Type Order
Subtype Extension of Time (Juris Brief)
Description ORDER-EXT OF TIME GR (JURIS BRIEF-RESPONDENT) ~ Respondent's motion for extension of time is granted and respondent is allowed to and including January 14, 2016, in which to serve the jurisdictional answer brief. NO FURTHER EXTENSIONS OF TIME WILL BE GRANTED TO RESPONDENT FOR THE FILING OF THE JURISDICTIONAL ANSWER BRIEF.
Docket Date 2016-03-18
Type Disposition
Subtype Rev DY Lack Juris
Description DISP-REV DY LACK JURIS ~ This cause having heretofore been submitted to the Court on jurisdictional briefs and portions of the record deemed necessary to reflect jurisdiction under Article V, Section 3(b), Florida Constitution, and the Court having determined that it should decline to accept jurisdiction, it is ordered that the petition for review is denied.No motion for rehearing will be entertained by the Court. See Fla. R. App. P. 9.330(d)(2).
Docket Date 2016-01-14
Type Brief
Subtype Juris Answer
Description JURIS ANSWER BRIEF
On Behalf Of BAKER COUNTY MEDICAL SERVICES INC.
View View File
Docket Date 2015-12-17
Type Order
Subtype Consolidation
Description ORDER-CONSOLIDATION GR ~ Petitioners' joint motion to consolidate filed in the above cases is hereby granted and said cases are hereby consolidated for all appellate purposes.From this date forward, all documents pertaining to the above consolidated cases should be filed using case number SC15-2217 only.
View View File
Docket Date 2015-12-15
Type Motion
Subtype Ext of Time (Juris Brief)
Description MOTION-EXT OF TIME (JURIS BRIEF)
On Behalf Of BAKER COUNTY MEDICAL SERVICES INC.
View View File
Docket Date 2015-12-14
Type Brief
Subtype Juris Initial
Description JURIS INITIAL BRIEF ~ W/APPENDIX
On Behalf Of WEST JACKSONVILLE MEDICAL CENTER, INC.
View View File
Docket Date 2015-12-10
Type Motion
Subtype Consolidation
Description MOTION-CONSOLIDATION ~ FILED AS "JOINT MOTION TO CONSOLIDATE" W/ SC15-2217
On Behalf Of Florida Agency for Health Care Administration
View View File
Docket Date 2015-12-04
Type Event
Subtype Fee Paid in Full - $300
Description Fee Paid In Full - $300
Docket Date 2015-12-03
Type Letter-Case
Subtype Acknowledgment Letter-New Case
Description ACKNOWLEDGMENT LETTER-NEW CASE
Docket Date 2015-12-03
Type Order
Subtype Filing Fee Due
Description ORDER-FILING FEE DUE ~ The jurisdiction of this Court was invoked by the filing of a Notice to Invoke Discretionary Jurisdiction in the lower tribunal; however, said notice was not accompanied by the $300.00 filing fee or an order of insolvency from the district court of appeal as required by Florida Rules of Appellate Procedure 9.110(b) and 9.120(b). The filing fee is due and payable at the time of filing the notice. Petitioner is allowed to and including January 4, 2015, in which to submit the filing fee, or an order of insolvency, or a proper motion for leave to proceed in forma pauperis that complies with sections 57.081 and 57.082, Florida Statutes (2013). Failure to submit the filing fee or one of the above referenced documents to this Court could result in the imposition of sanctions, including dismissal of the notice.Please understand that once this case is dismissed, it is not subject to reinstatement.
Docket Date 2015-12-02
Type Misc. Events
Subtype Fee Status
Description A3:Paid In Full - $300
Docket Date 2015-12-02
Type Notice
Subtype Invoke Discretionary Jurisdiction
Description NOTICE-DISCRETIONARY JURIS (DIRECT CONFLICT)
On Behalf Of WEST JACKSONVILLE MEDICAL CENTER, INC.
View View File
STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION VS BAKER COUNTY MEDICAL SERVICES INC., ETC., ET AL. SC2015-2217 2015-12-02 Closed
Classification Discretionary Review - Notice to Invoke - Direct Conflict of Decisions
Court Supreme Court of Florida
Originating Court Circuit Court for the Second Judicial Circuit, Leon County
372013CA003419XXXXXX

Circuit Court for the Second Judicial Circuit, Leon County
1D14-4988

Parties

Name Florida Agency for Health Care Administration
Role Petitioner
Status Active
Representations Tracy Lee Cooper George
Name D/B/A ED FRASER MEMORIAL HOSPITAL
Role Respondent
Status Active
Representations Susan C. Smith, Geoffrey D. Smith, KARA LESLIE GROSS
Name WEST JACKSONVILLE MEDICAL CENTER, INC.
Role Respondent
Status Active
Representations R. DAVID PRESCOTT, J. Stephen Menton, Mr. Stephen Alexander Ecenia
Name BAKER COUNTY MEDICAL SERVICES, INC.
Role Respondent
Status Active
Representations Susan C. Smith, KARA LESLIE GROSS, Geoffrey D. Smith
Name Hon. James C. Hankinson
Role Judge/Judicial Officer
Status Active
Name HON. BOB INZER, CLERK
Role Lower Tribunal Clerk
Status Active
Name Jon S. Wheeler
Role Lower Tribunal Clerk
Status Active

Docket Entries

Docket Date 2016-03-18
Type Disposition
Subtype Rev DY Lack Juris
Description DISP-REV DY LACK JURIS ~ This cause having heretofore been submitted to the Court on jurisdictional briefs and portions of the record deemed necessary to reflect jurisdiction under Article V, Section 3(b), Florida Constitution, and the Court having determined that it should decline to accept jurisdiction, it is ordered that the petition for review is denied.No motion for rehearing will be entertained by the Court. See Fla. R. App. P. 9.330(d)(2).
Docket Date 2016-01-14
Type Brief
Subtype Juris Answer
Description JURIS ANSWER BRIEF
On Behalf Of BAKER COUNTY MEDICAL SERVICES INC.
View View File
Docket Date 2015-12-17
Type Order
Subtype Consolidation
Description ORDER-CONSOLIDATION GR ~ Petitioners' joint motion to consolidate filed in the above cases is hereby granted and said cases are hereby consolidated for all appellate purposes.From this date forward, all documents pertaining to the above consolidated cases should be filed using case number SC15-2217 only.
Docket Date 2015-12-16
Type Order
Subtype Extension of Time (Juris Brief)
Description ORDER-EXT OF TIME GR (JURIS BRIEF-RESPONDENT) ~ Respondent's motion for extension of time is granted and respondent is allowed to and including January 14, 2016, in which to serve the jurisdictional answer brief. NO FURTHER EXTENSIONS OF TIME WILL BE GRANTED TO RESPONDENT FOR THE FILING OF THE JURISDICTIONAL ANSWER BRIEF.
Docket Date 2015-12-15
Type Motion
Subtype Ext of Time (Juris Brief)
Description MOTION-EXT OF TIME (JURIS BRIEF)
On Behalf Of BAKER COUNTY MEDICAL SERVICES INC.
View View File
Docket Date 2015-12-14
Type Brief
Subtype Juris Initial
Description JURIS INITIAL BRIEF ~ W/APPENDIX
On Behalf Of Florida Agency for Health Care Administration
View View File
Docket Date 2015-12-10
Type Motion
Subtype Consolidation
Description MOTION-CONSOLIDATION ~ FILED AS "JOINT MOTION TO CONSOLIDATE" W/ SC15-2218
On Behalf Of Florida Agency for Health Care Administration
View View File
Docket Date 2015-12-03
Type Event
Subtype No Fee - State
Description No Fee - State
Docket Date 2015-12-03
Type Letter-Case
Subtype Acknowledgment Letter-New Case
Description ACKNOWLEDGMENT LETTER-NEW CASE
Docket Date 2015-12-02
Type Misc. Events
Subtype Fee Status
Description NS:No Fee - State
Docket Date 2015-12-02
Type Notice
Subtype Invoke Discretionary Jurisdiction
Description NOTICE-DISCRETIONARY JURIS (DIRECT CONFLICT)
On Behalf Of Florida Agency for Health Care Administration
View View File

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-02-03
ANNUAL REPORT 2022-02-01
AMENDED ANNUAL REPORT 2021-11-29
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 2017-11-22

OSHA's Inspections within Industry

Inspection Summary

Date:
1999-11-17
Type:
Planned
Address:
159 N THIRD STREET, MACCLENNY, FL, 32063
Safety Health:
Health
Scope:
Complete

Tax Exempt

Employer Identification Number (EIN) :
59-3202547
In Care Of Name:
% DENNIS R MARKOS
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
1994-04
National Taxonomy Of Exempt Entities:
Health Care: Hospital, General
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

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Date of last update: 01 Jun 2025

Sources: Florida Department of State