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CH04034I RURAL HEALTH CARE, INCORPORATED (Terminated)
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Main Details
Name
RURAL HEALTH CARE, INCORPORATED
Subdivision Name
HASTINGS YOUTH ACADEMY
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007293
340B ID
CH04034I
Grant Number
H80CS00081
Additional Details
Current Program Status
Terminated
Registration Date
11/4/2005
Participating Start Date
11/7/2005
Participating Approval Date
11/7/2005
Last Recertification Date
2/13/2017
Termination Date
Termination Reason
4/1/2017
Site closure
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
LARRY W. PEDERSON, Chief Pharmacy Officer
(386) 328-0558
Addresses
Street Address
765 E Saint Johns Ave
Hastings, FL 32145-3936
Billing Address
RURAL HEALTH CARE, INC. DBA AZALEA 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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