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CH04034E 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-H80-000532
340B ID
CH04034E
Grant Number
H80CS00081
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
6/17/2005
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
1213 State Road 20
INTERLACHEN, FL 32148
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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ADDRESS CORRECTION, 6/17/05 - REMOVED UNIT B FROM ADDRESS
11/07/2005
June 2025
June 2025
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