RURAL HEALTH CARE INCORPORATED (NPI# 1700135522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700135522 |
| Entity Type | Organization |
| Organization Name | RURAL HEALTH CARE INCORPORATED |
| Other Organization Name | AZA HEALTH |
| Practice Address |
1305 N Orange Ave Green Cove Springs FL 32043-2553 |
| Mailing Address |
1302 River St Palatka FL 32177-5042 |
| Practice Telephone | 9042845904 |
| Practice Fax Number | 9042845905 |
| Mailing Telephone | 3863267342 |
| Mailing Fax Number | 3863251086 |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | LAURA M SPENCER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3863280108 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Aza Health | Doing Business As Name - Organization |
| 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 |
| 1164621744 | Rural Health Care Incorporated | General Practice | 405 Elm Street, Welaka, FL 32193 | 2007-07-13 |
| 1124236922 | Rural Health Care Incorporated | General Practice | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2007-05-18 |
| 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 |
1305 N ORANGE AVE |
| City | GREEN COVE SPRINGS |
| State | FL |
| Zip Code | 32043-2553 |
| 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 |
| 1518394477 | Rural Health Care, Inc. | Pharmacy | 1305 N Orange Ave, Green Cove Springs, FL 32043-2547 | 2013-10-08 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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.