Aza Health

LBN: Rural Health Care, Inc.
Aza Health is an health care organization with primary practice located at 1213 State Road 20 , Interlachen FL 32148-2737. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Rural Health Care, Inc. can be contacted via phone (386) 684-2407, or through Pederson, Larry William via phone (386) 328-0558.

Contact Information

Primary practice address
1213 State Road 20 Interlachen FL 32148-2737
Phone: (386) 684-2407
Fax: (386) 684-4701
Website:
Map and Directions
Authorized official contact:
Name: Pederson, Larry William RPH, CPH
Phone: (386) 328-0558

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PH11219 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1497838551
LBN Legal business name Rural Health Care, Inc.
DBA Doing business as Aza Health
Authorized official Pederson, Larry William RPH, CPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Feb 7th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497838551 NPPES
Florida MEDICAID 101251779
Florida Other 1068243
Florida MEDICAID 101251700

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