RURAL HEALTH CARE INCORPORATED NPI 1235106618

NPI Information

NPI: 1235106618
Provider Name: RURAL HEALTH CARE INCORPORATED

Doing Business As: AZA HEALTH

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
306 UNION AVE
CRESCENT CITY, FL
ZIP 32112
Phone: (386) 698-1232
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RURAL HEALTH CARE INCORPORATED is a federally qualified health center (fqhc) clinic center in Crescent City, FL. RURAL HEALTH CARE INCORPORATED NPI is 1235106618. The provider is registered as an organization entity type.
The provider Is Doing Business As Aza Health.

The provider's business location address is:

306 UNION AVE
CRESCENT CITY, FL
ZIP 32112-432
Phone: (386) 698-1232
Fax: (386) 698-4154

The provider's authorized official is Laura M Spencer .
The authorized official title is Chief Executive Officer and has the following contact phone number (386) 328-0108.

The enumeration date for this NPI number is 3/3/2006 and was last updated on 2/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health	L8000010912	FLORIDA	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	029543403	MEDICAID	FLORIDA
2	CF6528	OTHER	FLORIDA	MEDICARE RAILROAD
3	037641803	MEDICAID	FLORIDA
4	021632179	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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