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NPI Code Detail

MEDICARE: RURAL HEALTH CARE INCORPORATED

MEDICARE: RURAL HEALTH CARE INCORPORATED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QC1500XCommunity Health Clinic/CenterL8000010912FL
2261QF0400XFederally Qualified Health Center (FQHC)

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CF6528OTHERFLMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235106618
Entity Type Code : Organization
Provider Name (Legal Business Name) : RURAL HEALTH CARE INCORPORATED
Provider Business Mailing Address
First Line : 1302 RIVER ST
Second Line :
City : PALATKA
State : FL
Zip : 32177-5042
Country : US
Telephone Number : 386-328-0108
Fax Number : 386-325-1086
Provider Business Practice Location Address
First Line : 306 UNION AVE
Second Line :
City : CRESCENT CITY
State : FL
Zip : 32112-4432
Country : US
Telephone Number : 386-698-1232
Fax Number : 386-698-4154
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MISS LAURA M SPENCER
Credential : C.E.O.
Telephone Number : 386-328-0108
Provider Enumeration Date : 03/03/2006
Last Update Date : 02/13/2020

Similar Medicare Providers

1255313045 — MS. MARY KATHERINE MURPHY WHNP/FNP-C
Practice Location Address:
306 UNION AVE
CRESCENT CITY, FL
32112-4432
Practice Phone: 386-698-1232
Practice Fax: 386-325-1086
1689756470 — RURAL HEALTH CARE, INC.
Practice Location Address:
306 UNION AVE
CRESCENT CITY, FL
32112-4432
Practice Phone: 386-698-2368
Practice Fax: 386-698-4343
1639247646 — DR. IRIS YOLANDA RODRIGUEZ M.D.
Practice Location Address:
306 UNION AVE
CRESCENT CITY, FL
32112-4432
Practice Phone: 386-698-1232
Practice Fax: 386-698-4154
1841543147 — MR. GEORGE WILLIAM DEEGAN PSW874
Practice Location Address:
306 UNION AVE
CRESCENT CITY, FL
32112-4432
Practice Phone: 386-698-1232
Practice Fax: 386-698-4154
1427451327 — MS. LETICIA BRAVO ARNP
Practice Location Address:
306 UNION AVE
CRESCENT CITY, FL
32112-4432
Practice Phone: 386-698-1232
Practice Fax: 386-698-4154
1235861121 — BEATRICE PEREZ APRN
Practice Location Address:
306 UNION AVE
CRESCENT CITY, FL
32112-4432
Practice Phone: 386-698-1232
Practice Fax:

Directions to “RURAL HEALTH CARE INCORPORATED ” Practice Location

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