RURAL HEALTH CARE INC. NPI 1891227179

NPI Information

NPI: 1891227179
Provider Name: RURAL HEALTH CARE, INC.

Doing Business As: AZA HEALTH

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1425 DUNN AVE
DAYTONA BEACH, FL
ZIP 32114
Phone: (386) 323-9600
Get Directions

RURAL HEALTH CARE, INC. is a federally qualified health center (fqhc) clinic center in Daytona Beach, FL. RURAL HEALTH CARE, INC. NPI is 1891227179. The provider is registered as an organization entity type.
The provider Is Doing Business As Aza Health.

The provider's business location address is:

1425 DUNN AVE
DAYTONA BEACH, FL
ZIP 32114-437
Phone: (386) 323-9600
Fax: (386) 323-9695

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 CLIA number assigned to this NPI record is 10D0267488 - other - fqhc with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2017 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			No
2	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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »