Organization
RURAL HEALTH CARE, INC.
Active
Other names
Aza Health
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA M. SPENCER C.E.O. (CHIEF EXECUTIVE OFFICER)
(386) 328-0108
Entity
Organization
Contact information
Practice address
2503 PRESIDENT ST, PALATKA, FL 32177-5433
(386) 328-7638
(386) 328-9644
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
20021180
FL
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029543400
—
FL
Enumeration date
03/01/2006
Last updated
02/13/2020
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