Organization
RURAL HEALTH CARE INCORPORATED
Active
Other names
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
1305 N ORANGE AVE, GREEN COVE SPRINGS, FL 32043-2553
(904) 284-5904
(904) 284-5905
Mailing address
1302 RIVER ST, PALATKA, FL 32177-5042
(386) 326-7342
(386) 325-1086
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/07/2012
Last updated
02/13/2020
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