Organization
RURAL HEALTH CARE, INCORPORATED
Active
Other names
Azalea Health, Aza Health
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA M. SPENCER (CHIEF EXECUTIVE OFFICER)
(386) 328-0108
Entity
Organization
Contact information
Practice address
105 WHITEHALL DR, SUITES 109-114, ST AUGUSTINE, FL 32086-5269
(904) 829-2782
(904) 829-2494
Mailing address
1302 RIVER ST, PALATKA, FL 32177-5042
(386) 328-0108
(386) 325-1086
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029543414
—
FL
Enumeration date
07/26/2012
Last updated
02/12/2020
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