RURAL HEALTH CARE INC. (NPI# 1780064808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780064808 |
Entity Type | Organization |
Organization Name | RURAL HEALTH CARE INC. |
Other Organization Name | AZALEA HEALTH |
Practice Address |
460 Palm Coast Pkwy Sw Suite 5 Palm Coast FL 32137-4785 |
Mailing Address |
1302 River St Palatka FL 32177-5042 |
Practice Telephone | 3862463954 |
Practice Fax Number | 3862463960 |
Mailing Telephone | 3863267342 |
Mailing Fax Number | 3863251086 |
Enumeration Date | 2015-06-03 |
Last Update Date | 2020-02-12 |
Authorized Official Name | LAURA M. SPENCER (PRESIDENT/CEO) |
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 |
Azalea Health | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821533175 | Rural Health Care Inc. | Clinic/Center | 250 State Road 207, St Augustine, FL 32084-0997 | 2016-12-22 |
Street Address |
460 PALM COAST PKWY SW SUITE 5 |
City | PALM COAST |
State | FL |
Zip Code | 32137-4785 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215091715 | Patricia Mckeever Williams | Nurse Practitioner | 460 Palm Coast Pkwy Sw, Suite 5, Palm Coast, FL 32137-4785 | 2006-12-20 |
1467811703 | Rural Health Care, Inc | Pharmacy | 460 Palm Coast Pkwy Sw, Suite 5, Palm Coast, FL 32137-4785 | 2016-02-15 |
1154532679 | Muhammad Ikramullah Usmani | Family Medicine | 460 Palm Coast Pkwy Sw, Suite 5, Palm Coast, FL 32137-4785 | 2007-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922617505 | Palm Coast Alf Management LLC | Assisted Living Facility | 3830 Old Kings Road, Palm Coast, FL 32137 | 2020-07-29 |
1093324964 | Akilah Collins | Behavior Technician | 515 Palm Coast Pwky Sw, Suite 6, Palm Coast, FL 32137 | 2020-07-27 |
1750929477 | Jeanette Ann Stevens | Technician | 1 Lema Place, Palm Coast, FL 32137 | 2019-12-12 |
1649816919 | Patrick Meyer | Occupational Therapy Assistant | 9 Pine Cone Drive, Palm Coast, Palm Coast, FL 32137 | 2019-11-21 |
1689230385 | Coastal Care Medical Transport | Non-emergency Medical Transport (VAN) | #2b, 1 Hargrove Grde, Palm Coast, FL 32137 | 2019-05-17 |
1407357437 | Palm Coast Counseling, LLC | Counselor | 1 Hargrove Grade, Ste B-1, Palm Coast, FL 32137 | 2018-02-25 |
1679081459 | Lance J Langston | Behavior Technician | 2 Crosstie Ct, Palm Coast, FL 32137 | 2018-01-16 |
1407360712 | Hanna Mercedes Brown | Behavior Technician | 515 Palm Coast Pkwy, Suite 6/7, Palm Coast, FL 32137 | 2017-11-22 |
1760994511 | Sophia's Choice Hands That Help, LLC | Custodial Care Facility | 119 Bud Hollow Dr, Palm Coast, FL 32137 | 2017-11-02 |
1922543255 | Megan Katherine Dickerson | Physical Therapist | 250 Palm Coast Pkwy Ne Unit 209a, Palm Coast, FL 32137 | 2016-12-22 |
Find all providers in zip 32137 |
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 | PALM COAST |
Zip Code | 32137 |
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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.