Organization
RURAL HEALTH CARE INC
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
1455 DUNN AVE, DAYTONA BEACH, FL 32114-1437
(386) 323-9600
(386) 323-9695
Mailing address
1302 RIVER ST, PALATKA, FL 32177-5042
(386) 328-0108
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/30/2017
Last updated
08/01/2022
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