RURAL HEALTH CARE, INC. (NPI# 1518394477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518394477 |
| Entity Type | Organization |
| Organization Name | RURAL HEALTH CARE, INC. |
| Other Organization Name | AZA HEALTH |
| Practice Address |
1305 N Orange Ave Green Cove Springs FL 32043-2547 |
| Mailing Address |
Po Box 817 Palatka FL 32178-0817 |
| Practice Telephone | 9042845904 |
| Practice Fax Number | 9042845905 |
| Mailing Telephone | 3863280108 |
| Mailing Fax Number | 3863251086 |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | MR. LARRY WILLIAM PEDERSON (VP/CPO) |
| Authorized Official Telephone | 3863280558 |
| Authorized Official Credential | RPH, CPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH0027105 | FL | Suppliers |
| Other Name | Type Code |
|---|---|
| Aza Health | Doing Business As Name - Organization |
| AZALEA HEALTH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316565625 | Rural Health Care, Inc. | Clinic/Center | 600 9th Ave N Ste 1, Sibley, IA 51249-1012 | 2020-07-13 |
| 1730707084 | Rural Health Care, Inc. | Clinic/Center | 201 N St Paul Ave Ste 1, Fulda, MN 56131-3004 | 2020-07-13 |
| 1215317375 | Rural Health Care, Inc. | Family Medicine | 1216 Ryans Rd Ste 3, Worthington, MN 56187-1781 | 2015-06-04 |
| 1750705232 | Rural Health Care, Inc. | Clinic/Center | 101 S. Front Street, Chamberlain, SD 57325-0027 | 2014-02-05 |
| 1487667077 | Rural Health Care, Inc. | Clinic/Center | 202 Island Drive, Suite 1, Ft. Pierre, SD 57532 | 2006-08-14 |
| 1063434074 | Rural Health Care, Inc. | Family Medicine | 203 S Moody Rd, Palatka, FL 32177-3923 | 2006-07-25 |
| 1356318885 | Rural Health Care, Inc. | Clinic/Center | 765 E Saint Johns Ave, Hastings, FL 32145-3936 | 2006-03-03 |
| 1720076441 | Rural Health Care, Inc. | Clinic/Center | 609 Garfield Ave, Murdo, SD 57559 | 2005-10-06 |
| 1205824927 | Rural Health Care, Inc. | Clinic/Center | 200 S. Commercial, Highmore, SD 57345-0259 | 2005-10-06 |
| 1487150009 | Rural Health Care, Inc. | Pharmacy | 1425 Dunn Ave, Daytona Beach, FL 32114-1437 | 2018-04-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RURAL HEALTH CARE, INC | 101 S Front St, Chamberlain, SD 57325-1612 |
| Street Address |
1305 N ORANGE AVE |
| City | GREEN COVE SPRINGS |
| State | FL |
| Zip Code | 32043-2547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477673762 | Wanda I Villanueva Gonzalez | General Practice | 1305 N Orange Ave, Green Cove Springs, FL 32043-2547 | 2007-03-30 |
| 1437540622 | Mark Gabel | Social Worker | 1305 N Orange Ave, Green Cove Springs, FL 32043-2547 | 2015-02-10 |
| 1700135522 | Rural Health Care Incorporated | Clinic/Center | 1305 N Orange Ave, Green Cove Springs, FL 32043-2553 | 2012-09-07 |
| 1053553974 | Kimberly Simon | Nurse Practitioner | 1305 N Orange Ave, Green Cove Springs, FL 32043-2547 | 2009-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245863414 | Marica Thomas | Family Medicine | 476 Houston St, Green Cove Springs, FL 32043 | 2020-02-17 |
| 1992278501 | Corinne Jackson | Occupational Therapy Assistant | North Pavilion Place, Penney Farms, FL 32043 | 2019-01-07 |
| 1184129744 | Gianina Romito | Speech-Language Pathologist | Gov. Creek Health and Rehab, 803 Oak Street, Green Cove Springs, FL 32043 | 2018-03-27 |
| 1992157549 | Blake Wells | Physical Therapy Assistant | 803 Oak Street, Green Cove Springs, FL 32043 | 2016-07-07 |
| 1831443290 | Barbara J Mcdougall, Psyd, Pa | Psychologist | 623 Oak Street, Green Cove Springs, FL 32043 | 2012-11-06 |
| 1124376629 | William P Yapp Dc Pa | Chiropractor | 1212 Idlewild Ave. (hwy 16w), Green Cove Springs, FL 32043 | 2012-08-15 |
| 1053551481 | Angela Carol Bramlitt | Registered Nurse | 311 Morris Avenue, Green Cove Springs, FL 32043 | 2009-02-25 |
| 1760602718 | John Michael Aimino | Optometrist | 2364 Jennie Lane, Green Cove Springs, FL 32043 | 2007-05-01 |
| 1386763779 | Mayhugh Drugs Inc | Pharmacy | 200 B South Orange Ave, Green Cove Springs, FL 32043 | 2007-03-28 |
| 1598037988 | Kristi Resse Williams | Occupational Therapist | 803 Oak St, Green Cove Springs, FL 32043 | 2012-02-01 |
| Find all providers in zip 32043 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760609523 | Walgreen Co | Pharmacy | 103 S Orange Ave, Green Cove Springs, FL 32043-4127 | 2007-04-20 |
| 1386763779 | Mayhugh Drugs Inc | Pharmacy | 200 B South Orange Ave, Green Cove Springs, FL 32043 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871583 | Florida Community Health Centers, Inc. | Pharmacy | 9576 S Us Highway 1, Port Saint Lucie, FL 34952-4217 | 2020-11-06 |
| 1053911883 | Nrc Pharmd Inc | Pharmacy | 2700 Immokalee Rd Ste 24, Naples, FL 34110-1437 | 2020-10-30 |
| 1073112116 | Hl72 LLC | Pharmacy | 5193 Clark Rd, Sarasota, FL 34233-3213 | 2020-10-20 |
| 1689280851 | Unique Pharmacy Corp | Pharmacy | 7800 Sw 87th Ave Ste 210b, Miami, FL 33173-2537 | 2020-09-22 |
| 1033723127 | Five Pillars Corporation | Pharmacy | 2301 N University Dr Ste 112, Pembroke Pines, FL 33024-3617 | 2020-09-04 |
| 1780297655 | Healthy Living Pharmacy LLC | Pharmacy | 755 Rosemary Cir, Bradenton, FL 34212-5015 | 2020-08-28 |
| 1326651555 | Purformance Wellness Pharmacy LLC | Pharmacy | 600 Se Indian St Ste 3, Stuart, FL 34997-5540 | 2020-08-27 |
| 1043822620 | Specialtycarerx LLC | Pharmacy | 821 N Us Highway 1 Ste A, Ormond Beach, FL 32174-4528 | 2020-08-17 |
| 1831700855 | Kingsley Rx LLC | Pharmacy | 1542 Kingsley Ave Ste 142, Orange Park, FL 32073-4547 | 2020-08-13 |
| 1104435742 | Easyscripts LLC | Pharmacy | 2601 S Military Trl Ste 1, West Palm Beach, FL 33415-7509 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
| City | GREEN COVE SPRINGS |
| Zip Code | 32043 |
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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.