Azalea Health

LBN: Rural Health Care, Incorporated
Azalea Health is an health care organization with primary practice located at 105 Whitehall Dr Suites 109-114, St Augustine FL 32086-5269. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Rural Health Care, Incorporated can be contacted via phone (904) 829-2782, or through Spencer, Laura M. via phone (386) 328-0108.

Contact Information

Primary practice address
105 Whitehall Dr Suites 109-114 St Augustine FL 32086-5269
Phone: (904) 829-2782
Fax: (904) 829-2494
Website:
Map and Directions
Authorized official contact:
Name: Spencer, Laura M.
Phone: (386) 328-0108

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1629324751
LBN Legal business name Rural Health Care, Incorporated
DBA Doing business as Azalea Health
Authorized official Spencer, Laura M.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2012
Last updated Feb 12th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629324751 NPPES
Florida MEDICAID 029543414

Popular Providers