RURAL HEALTH CARE INCORPORATED NPI 1780064808

NPI Information

NPI: 1780064808
Provider Name: RURAL HEALTH CARE INCORPORATED

Former Legal Business Name: AZALEA HEALTH

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
460 PALM COAST PKWY SW
SUITE 5
PALM COAST, FL
ZIP 32137
Phone: (386) 246-3954
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RURAL HEALTH CARE INCORPORATED is a federally qualified health center (fqhc) clinic center in Palm Coast, FL. RURAL HEALTH CARE INCORPORATED NPI is 1780064808. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Azalea Health.

The provider's business location address is:

460 PALM COAST PKWY SW
SUITE 5
PALM COAST, FL
ZIP 32137-785
Phone: (386) 246-3954
Fax: (386) 246-3960

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

The enumeration date for this NPI number is 6/3/2015 and was last updated on 6/29/2021.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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: 11/14/2023

NPI Synchronization or Removal

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