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BARNABAS HEALTH SERVICES, INC.

Company Details

Entity Name: BARNABAS HEALTH SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 27 Jan 2014 (11 years ago)
Document Number: P14000008131
FEI/EIN Number 46-4648608
Address: 1303 JASMINE ST SUITE 101, FERNANDINA BEACH, FL 32034
Mail Address: 1303 JASMINE ST SUITE 101, FERNANDINA BEACH, FL 32034
ZIP code: 32034
County: Nassau
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1386040467 2014-11-17 2020-03-30 1303 JASMINE ST, SUITE 101, FERNANDINA BEACH, FL, 320342992, US 1303 JASMINE ST, SUITE 101, FERNANDINA BEACH, FL, 320342992, US

Contacts

Phone +1 904-261-7000
Fax 9042618899

Authorized person

Name MS. WANDA LANIER
Role EXECUTIVE DIRECTOR
Phone 9042617000

Taxonomy

Taxonomy Code 207QA0505X - Adult Medicine Physician
Is Primary Yes

Agent

Name Role Address
Reynolds, Jamie Agent 1303 JASMINE ST SUITE 101, FERNANDINA BEACH, FL 32034

Director

Name Role Address
Campbell, Dwayne, Pastor Director 1114 Elm Street, Fernandina Beach, FL 32034
Coleman, Thomas, Bishop Director 96483 Calhoun Road, Callahan, FL 32011
Cotter, Liza Director 60 Marsh Creek Road, Fernandina Beach, FL 32034
Herrera, Alex Director 96460 Blackrock Pl, Yulee, FL 32097
Sharer, Mary Anne Director 808 Stanley Street, Fernandina Beach, FL 32034
Johnson, Tammy Director 35739 Quail Road, Callahan, FL 32011
Paschke, Maureen Director 85121 Bostwick Wood Drive, Fernandina Beach, FL 32034
Mullman, John Director 10 Dunes Row, Fernandina Beach, FL 32034
Brown, LaRae Director 96053 Baker Street, Yulee, FL 32097
Diaz Siaca, Omar Director 5009 Anthony Street, Fernandina Beach, FL 32034

Chief Executive Officer

Name Role Address
Reynolds, Jamie Chief Executive Officer 1303 Jasmine Street, Suite 101 Fernandina Beach, FL 32034

Treasurer

Name Role Address
Simpson, Jonathan Treasurer 503 Spanish Way West, Fernandina Beach, FL 32034

Secretary

Name Role Address
Gulmatico, MayLyn Secretary 4750 Amelia Island Parkway, Fernandina Beach, FL 32034

Vice Chairman

Name Role Address
DuCharme, Jim Vice Chairman 39 Beach Walker Road, Fernandina Beach, FL 32034

Chairman

Name Role Address
McLellan, Wayne Chairman 836 Simmons Road, Fernandina Beach, FL 32034

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-07-21 Reynolds, Jamie No data

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-01-25
AMENDED ANNUAL REPORT 2021-07-21
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-12
ANNUAL REPORT 2017-01-24
ANNUAL REPORT 2016-02-09

Date of last update: 22 Jan 2025

Sources: Florida Department of State