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CH04034Q RURAL HEALTH CARE, INCORPORATED (ToBeTerminated)
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Main Details
Name
RURAL HEALTH CARE, INCORPORATED
Subdivision Name
AZA HEALTH
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018984
340B ID
CH04034Q
Grant Number
H80CS00081
Additional Details
Current Program Status
ToBeTerminated
Registration Date
4/17/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/24/2017
Last Recertification Date
2/14/2025
Termination Date
Termination Reason
7/1/2025
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.
Shonda S Waller, Chief Pharmacy Officer
(386) 328-0108 Ext: 3301
Addresses
Street Address
1455 DUNN AVE
DAYTONA BEACH, FL 32114-1437
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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June 2025
June 2025
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