RURAL HEALTH CARE INCORPORATED (NPI# 1871569061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871569061 |
| Entity Type | Organization |
| Organization Name | RURAL HEALTH CARE INCORPORATED |
| Other Organization Name | AZA HEALTH |
| Practice Address |
1302 River St Palatka FL 32177-5042 |
| Practice Telephone | 3863280108 |
| Practice Fax Number | 3863251086 |
| Mailing Telephone | 3863280108 |
| Mailing Fax Number | 3863251086 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | MISS LAURA M. SPENCER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3863280108 |
| Authorized Official Credential | C.E.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
L800009137 | FL | Ambulatory Health Care Facilities |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 100931179 | 05 | |
| FL | 029543400 | 05 | |
| FL | MEDICARE RAILROAD | CF6528 | 01 |
| FL | 037641802 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | 99262 | 01 |
| FL | 029543401 | 05 |
| 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 |
| 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 |
| 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 |
| Street Address |
1302 RIVER ST |
| City | PALATKA |
| State | FL |
| Zip Code | 32177-5042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073511978 | Bobby R Lafferty | Family Medicine | 1302 River St, Palatka, FL 32177-5042 | 2005-07-13 |
| 1659988327 | Mia Flowers | Pharmacist | 1302 River St, Palatka, FL 32177-5042 | 2020-09-28 |
| 1427669621 | Rafael Sanchez Jr. | Pharmacist | 1302 River St, Palatka, FL 32177-5042 | 2020-08-11 |
| 1508477977 | Nicholas Marquis Baxter | Pharmacist | 1302 River St, Palatka, FL 32177-5042 | 2020-08-11 |
| 1235787037 | Breonna Appling | Pharmacist | 1302 River St, Palatka, FL 32177-5042 | 2019-08-27 |
| 1073073557 | Kevin Whitfield | Pharmacist | 1302 River St, Palatka, FL 32177-5042 | 2019-03-21 |
| 1790295186 | Shaquita Renee Mickens | Pharmacist | 1302 River St, Palatka, FL 32177-5042 | 2017-10-11 |
| 1780138016 | Morgann D. Robinson | Pharmacist | 1302 River St, Palatka, FL 32177-5042 | 2016-08-03 |
| 1588043350 | Hezekiah George Owojuyigbe | General Practice | 1302 River St, Palatka, FL 32177-5042 | 2015-05-26 |
| 1053703637 | Saira A. Kahn | Pharmacist | 1302 River St, Palatka, FL 32177-5042 | 2015-02-19 |
| 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 | 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 | ||||
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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.