RURAL HEALTH CARE INCORPORATED (NPI# 1124236922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124236922 |
| Entity Type | Organization |
| Organization Name | RURAL HEALTH CARE INCORPORATED |
| Other Organization Name | AZALEA HEALTH |
| Practice Address |
611 Zeagler Dr Palatka FL 32177-3810 |
| Mailing Address |
1302 River St Palatka FL 32177-5042 |
| Practice Telephone | 3863280108 |
| Mailing Telephone | 3863280108 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2013-06-13 |
| Authorized Official Name | LAURA M SPENCER (PRESIDENT/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3863280108 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 037641800 | 05 |
| Other Name | Type Code |
|---|---|
| Azalea Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114994944 | Rural Health Care Incorporated | General Practice | 22066 Se 71st Avenue, Hawthorne, FL 32640-3969 | 2006-03-01 |
| 1093211393 | Rural Health Care Incorporated | Pharmacy | 1425 Dunn Ave, Daytona Beach, FL 32114 | 2018-04-04 |
| 1700135522 | Rural Health Care Incorporated | Clinic/Center | 1305 N Orange Ave, Green Cove Springs, FL 32043-2553 | 2012-09-07 |
| 1164621744 | Rural Health Care Incorporated | General Practice | 405 Elm Street, Welaka, FL 32193 | 2007-07-13 |
| 1235106618 | Rural Health Care Incorporated | Clinic/Center | 306 Union Ave, Crescent City, FL 32112-4432 | 2006-03-03 |
| 1477529311 | Rural Health Care Incorporated | Clinic/Center | 1213 State Road 20, Interlachen, FL 32148-2737 | 2006-02-28 |
| 1073589065 | Rural Health Care Incorporated | Family Medicine | 100 Commercial Dr, Keystone Heights, FL 32656-6802 | 2006-02-28 |
| 1871569061 | Rural Health Care Incorporated | Internal Medicine | 1302 River St, Palatka, FL 32177-5042 | 2006-02-27 |
| Street Address |
611 ZEAGLER DR |
| City | PALATKA |
| State | FL |
| Zip Code | 32177-3810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447244058 | Jennifer Lee Hart | Nurse Anesthetist, Certified Registered | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2005-09-09 |
| 1487120812 | Michele Cole | Registered Nurse | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2018-10-24 |
| 1619485760 | Brandon Dewayne Morgan | Student in an Organized Health Care Education/Training Program | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2018-01-10 |
| 1174038970 | Andrew Brian Kirkland | Physician Assistant | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2017-12-04 |
| 1295274546 | Jennifer Dye Standridge | Skilled Nursing Facility | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2017-02-20 |
| 1003352782 | Lindsey Fletcher | Nurse Practitioner | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2017-01-18 |
| 1437694056 | Brandi Rae Curtis | Nurse Practitioner | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2017-01-05 |
| 1609228196 | Vincent Demond Wright | Nurse Anesthetist, Certified Registered | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2016-07-07 |
| 1710331665 | Tamara Baxter | Nurse Practitioner | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2016-04-18 |
| 1740676220 | Putnam Community Medical Center of North Florida, LLC | Medicare Defined Swing Bed Unit | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2015-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1275090359 | Carol M Kazounis | Dietitian, Registered | 2801 Kennedy Strett, Palatka, FL 32177 | 2019-02-26 |
| 1447744768 | Pulido Internal Medicine | Nurse Practitioner | 700 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2018-06-20 |
| 1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
| 1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
| 1285984963 | Walgreens | Pharmacy | 719 South State Road 19, Palatka, FL 32177 | 2012-09-11 |
| 1841549235 | Audrey M Russell | Pharmacy Technician | 719 Hwy 19 South, Palatka, FL 32177 | 2012-08-31 |
| 1194023838 | Sherry D. Michael | Licensed Practical Nurse | 330 Kay Larkin Dr., Palatka, FL 32177 | 2011-03-04 |
| 1083846364 | Patricia Kowalchuk | Occupational Therapy Assistant | 6050 St.johns Ave., Suite A, Palatka, FL 32177 | 2009-08-20 |
| 1609015320 | Robin Calhoun | Occupational Therapist | 611 Zeagler Dr., Palatka, FL 32177 | 2009-02-19 |
| Find all providers in zip 32177 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588043350 | Hezekiah George Owojuyigbe | General Practice | 1302 River St, Palatka, FL 32177-5042 | 2015-05-26 |
| 1770590168 | Jerome R Jacobson | General Practice | 6101 Crill Ave, Palatka, FL 32177-3875 | 2006-08-01 |
| 1992719207 | Derek Bohn | General Practice | 6101 Crill Ave, Palatka, FL 32177-3875 | 2006-07-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.