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CH04034F RURAL HEALTH CARE, INCORPORATED (Active)
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Main Details
Name
RURAL HEALTH CARE, INCORPORATED
Subdivision Name
AZA HEALTH
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008582
340B ID
CH04034F
Grant Number
H80CS00081
Additional Details
Current Program Status
Active
Registration Date
11/4/2005
Participating Start Date
11/7/2005
Participating Approval Date
11/7/2005
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Rural Health Care, Inc. d/b/a Aza Health
Laura M. Spencer, CEO
(386) 328-0108 Ext: 3340
Primary Contact
Rural Health Care, Inc.
Shonda S Waller, Chief Pharmacy Officer
(386) 328-0108 Ext: 3301
Addresses
Street Address
22066 SE 71st Ave
Hawthorne, FL 32640
Billing Address
RURAL HEALTH CARE, INC. D/B/A AZA HEALTH
PO DRAWER 817
PALATKA, FL 32178-0817
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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12/9/08 UPDATED ADDR (WAS 22018 SE 71ST AVENUE)
01/22/2010
June 2025
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