Organization
RURAL HEALTH CARE INCORPORATED
Active
Other names
Aza Health
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LAURA M. SPENCER C.E.O. (CHIEF EXECUTIVE OFFICER)
(386) 328-0108
Entity
Organization
Contact information
Practice address
1302 RIVER ST, PALATKA, FL 32177-5042
(386) 328-0108
(386) 325-1086
Mailing address
1302 RIVER ST, PALATKA, FL 32177-5042
(386) 328-0108
(386) 325-1086
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
261QC1500X
Community Health Clinic/Center
L800009137
FL
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029543400
—
FL
05
—
029543401
—
FL
05
—
037641802
—
FL
05
—
100931179
—
FL
01
—
99262
BLUE CROSS BLUE SHIELD
FL
01
—
CF6528
MEDICARE RAILROAD
FL
Enumeration date
02/27/2006
Last updated
02/10/2020
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