Organization · Type 2 NPI
Rural Health Care Incorporated
Federally Qualified Health Center (FQHC) · Hawthorne, FL
NPI number
1114994944
Active
Practice location
22066 SE 71st Avenue
Hawthorne, FL 32640-3969
Fax (352) 481-2392
Mailing address
1302 River St
Palatka, FL 32177-5042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician | 208D00000X | None listed |
| Community Health Clinic/Center | 261QC1500X | L8000011321 (FL) |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1114994944
Rural Health Care Incorporated's National Provider Identifier is 1114994944, issued on Mar 1, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Hawthorne, FL. The record was last updated on Feb 13, 2020.