Organization

Rural Health Care Incorporated

May also be knows as Aza Health

Federally Qualified Health Center (FQHC) in Crescent City, FL(View on Map)

Legal Business Name

Rural Health Care Incorporated

Also Known As

Aza Health

NPI Number

1235106618

NPI Type

Organization

Enumeration Date

03/03/2006

Specialties

(Taxonomies)

Code

261QF0400X
261QC1500X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

L8000010912

Contact
Information

Purpose

Mailing
Location

Address

1302 RIVER ST
306 UNION AVE

City

Palatka
Crescent City

State

FL
FL

Postal Code

32177-5042
32112-4432

Country

US
US

Telephone Number

(386) 328-0108
(386) 698-1232

Authorized Official

Name

Miss Laura Spencer

Title or Position

CHIEF EXECUTIVE OFFICER

Telephone Number

(386) 328-0108

Identifiers

Identifier

CF6528
037641803
021632179
029543403

Identifier State

FL
FL
FL
FL

Identifier Issuer

MEDICARE RAILROAD
Unknown
Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/13/2020

Provider Address

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Specialty: Federally Qualified Health Center (FQHC) (Primary)

Organization

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May also be known as Suncoast Community Health Center Pediatrics
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Specialty: Federally Qualified Health Center (FQHC) (Primary)

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Premier Community Health Care Group, Inc.

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Specialty: Federally Qualified Health Center (FQHC) (Primary)

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Specialty: Federally Qualified Health Center (FQHC) (Primary)

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Organization

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Specialty: Federally Qualified Health Center (FQHC) (Primary)

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Central Florida Health Care Inc

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Premier Community Healthcare Group Inc

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Organization

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Organization

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