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Rural Health Care Incorporated
Federally Qualified Health Center (FQHC) in Hawthorne, Florida
NPI 1114994944

Rural Health Care Incorporated is a Federally Qualified Health Center (FQHC) based in Palatka, FL and is specialized in Federally Qualified Health Center (FQHC). Rural Health Care Incorporated practices in Hawthorne, FL. The NPI Number for Rural Health Care Incorporated is 1114994944 and holds a License No. (Florida).

The current practice location address for Rural Health Care Incorporated is 22066 Se 71St Avenue, Hawthorne, FL and can be reached out via phone at 352-481-2700 and via fax at 352-481-2392.

Location: 22066 Se 71St Avenue, Hawthorne, FL, 32177-5042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114994944
Provider Name
Rural Health Care Incorporated
Credential
Provider Entity Type
Organization
Address
22066 Se 71St Avenue, Hawthorne, FL, 32177-5042
Phone Number
352-481-2700
Fax Number
352-481-2392
Provider Enumeration Date
03/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
029543406 05 FL
036741806 05 FL
CF6528 01 FL MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
22066 Se 71St Avenue
City
Hawthorne
State
Florida
Zip
32640-3969
Phone Number
352-481-2700
Fax Number
352-481-2392
person
Provider Business Mailing Address Details
Address
22066 Se 71St Avenue
City
Hawthorne
State
Florida
Zip
32640-3969
Phone Number
352-481-2700
Fax Number
352-481-2392
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
261QC1500X
License No.
L8000011321 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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