RURAL HEALTH CARE, INC. (NPI# 1689756470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689756470 |
| Entity Type | Organization |
| Organization Name | RURAL HEALTH CARE, INC. |
| Other Organization Name | AZA HEALTH |
| Practice Address |
306 Union Ave Crescent City FL 32112-4432 |
| Mailing Address |
Po Box 817 Palatka FL 32178-0817 |
| Practice Telephone | 3866982368 |
| Practice Fax Number | 3866984343 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-02-07 |
| Authorized Official Name | 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 |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | PH0016495 | FL | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH0016495 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 021632179 | 05 | |
| FL | 021632100 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1085960 | 01 |
| 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 |
306 UNION AVE |
| City | CRESCENT CITY |
| State | FL |
| Zip Code | 32112-4432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255313045 | Mary Katherine Murphy | Nurse Practitioner | 306 Union Ave, Crescent City, FL 32112-4432 | 2005-11-17 |
| 1982195277 | Isabel E Betancourt Otanez | Physician Assistant | 306 Union Ave, Crescent City, FL 32112-4432 | 2018-05-23 |
| 1164962403 | Tom Ronald Pilcher | Pharmacist | 306 Union Ave, Crescent City, FL 32112-4432 | 2017-03-06 |
| 1427451327 | Leticia Bravo | Nurse Practitioner | 306 Union Ave, Crescent City, FL 32112-4432 | 2014-10-06 |
| 1841543147 | George William Deegan | Counselor | 306 Union Ave, Crescent City, FL 32112-4432 | 2012-10-24 |
| 1639247646 | Iris Yolanda Rodriguez | Family Medicine | 306 Union Ave, Crescent City, FL 32112-4432 | 2006-11-30 |
| 1245309061 | Richard S Richter | Pharmacist | 306 Union Ave, Crescent City, FL 32112-4432 | 2006-11-07 |
| 1235106618 | Rural Health Care Incorporated | Clinic/Center | 306 Union Ave, Crescent City, FL 32112-4432 | 2006-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316346273 | Regina Victoria Folen | Behavioral Analyst | 405 S Summit St Ste E, Crescent City, FL 32112 | 2014-08-17 |
| 1912179698 | Charlene Judge | Massage Therapist | 10 Central Ave., Crescent City, FL 32112 | 2008-04-02 |
| 1740404078 | Vicente Mercado | Specialist | 405 South Summit St., Unit F, Crescent City, FL 32112 | 2007-04-11 |
| 1750404547 | Leo Mancini | Specialist | 405 S Summit Street, Crescent City, FL 32112 | 2007-04-09 |
| 1962525675 | Marcia Anne Harwell | Specialist | 405 South Summit Street, Crescent City, FL 32112 | 2007-04-09 |
| 1972663342 | Southeast Sleep Consultants | Clinical Medical Laboratory | 1125c N Summitt St., Crescent City, FL 32112 | 2006-12-08 |
| 1215429436 | St John's Recovery Place LLC | Substance Abuse Rehabilitation Facility | 1125 N Summit St, Crescent City, FL 32112-1721 | 2018-06-04 |
| 1336160704 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 1115 N Summit St, Crescent City, FL 32112-1721 | 2006-07-21 |
| 1760011134 | Joanne Jensen | Pharmacist | 1115 N Summit St, Crescent City, FL 32112-1721 | 2020-04-07 |
| 1760699250 | Thomas P Ball | Pharmacist | 1115 N Summit St, Crescent City, FL 32112-1721 | 2007-05-16 |
| Find all providers in zip 32112 | ||||
| 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 |
|---|---|---|---|---|
| 1922256981 | Walgreen Co. | Pharmacy | 787 L St, Crescent City, CA 95531-2822 | 2008-09-03 |
| 1053330043 | Community Pharmacy Inc | Pharmacy | 897 N Summit St, Crescent City, FL 32112-2109 | 2006-07-19 |
| 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 | CRESCENT CITY |
| Zip Code | 32112 |
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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.