MEDICARE: BAPTIST PRIMARY CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1275714214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAPTIST PRIMARY CARE INC

Provider Business Mailing Address
First Line	:	PO BOX 45443
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84145-0443
Country	:	US
Telephone Number	:	904-202-1032
Fax Number	:	904-376-4107

Provider Business Practice Location Address
First Line	:	220 S 14TH ST
Second Line	:
City	:	FERNANDINA BEACH
State	:	FL
Zip	:	32034-3216
Country	:	US
Telephone Number	:	904-491-3688
Fax Number	:	904-261-6680

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MARSHA DONALDSON
Credential	:
Telephone Number	:	904-376-3703

Provider Enumeration Date	:	11/19/2007
Last Update Date	:	11/22/2023

Similar Medicare Providers

1710950050 — DAVID P PAGE MD
Practice Location Address:

220 S 14TH ST
FERNANDINA BEACH, FL
32034-3216

Practice Phone: 904-491-3688
Practice Fax: 904-390-7450

1306948179 — LORI YOUNG TILTON PA-C
Practice Location Address:

220 S 14TH ST
FERNANDINA BEACH, FL
32034-3216

Practice Phone: 904-491-3688
Practice Fax: 904-390-7450

1407923022 — LIFE LINE HOME CARE INC
Practice Location Address:

220 S 14TH ST
FERNANDINA BEACH, FL
32034-3216

Practice Phone: 904-321-0242
Practice Fax: 904-321-0930

1699758565 — VENTANA HEALTH AND MEDICAL CENTER
Practice Location Address:

901 OAK PARK BLVD , SUITE 101
PISMO BEACH, CA
93449-3216

Practice Phone: 805-489-2205
Practice Fax: 805-489-2206

1225042120 — TRACI R. FERNANDES, DDS, INC
Practice Location Address:

901 OAK PARK BLVD , SUITE 203
PISMO BEACH, CA
93449-3216

Practice Phone: 805-489-8232
Practice Fax: 805-489-8234

1871660670 — AMIR SADJADI DMD
Practice Location Address:

11001 BEACH BLVD
STANTON, CA
90680-3216

Practice Phone: 714-891-6623
Practice Fax:

Directions to “BAPTIST PRIMARY CARE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.