Organization
RURAL HEALTH CARE, INC.
Active
Other names
Azalea Health
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA M. SPENCER C.E.O. (PRESIDENT/CHIEF EXECUTIVE OFFICER)
(386) 328-0108
Entity
Organization
Contact information
Practice address
765 E SAINT JOHNS AVE, HASTINGS, FL 32145-3936
(904) 692-2920
(904) 692-3611
Mailing address
1302 RIVER ST, PALATKA, FL 32177-5042
(386) 328-0108
(386) 325-1086
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QC1500X
Community Health Clinic/Center
2950022270
FL
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029543408
—
FL
05
—
029545407
—
FL
Enumeration date
03/03/2006
Last updated
06/13/2013
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