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
250 STATE ROAD 207, ST AUGUSTINE, FL 32084-0997
(904) 824-3322
(904) 810-2004
Mailing address
1302 RIVER ST, PALATKA, FL 32177-5042
(386) 328-0108
(386) 325-1086
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/22/2016
Last updated
02/13/2020
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